NPI | 1205209194 |
---|---|
Former Name | EMILY LYLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY COA.17422-NP) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1146506) |
163W00000X Registered Nurse (Licence: OH 345164) | |
363L00000X Nurse Practitioner (Licence: KY 3009889) | |
363LF0000X Nurse Practitioner, Family (Licence: OH 17422) | |
Enumeration Date | 2015-11-02 |
Last Update Date | 2020-10-05 |