| NPI | 1265729990 |
|---|---|
| Former Name | FELICIA DAWN DURBIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: KY 3006963) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3006963) |
| Enumeration Date | 2011-07-01 |
| Last Update Date | 2019-08-15 |