NPI | 1245784982 |
---|---|
Former Name | JOYCE NEAL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3010632) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3010632) |
Enumeration Date | 2016-08-11 |
Last Update Date | 2022-07-21 |