NPI | 1275033953 |
---|---|
Former Name | KYLA M GIORGIO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3012077) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: KY 3012077) |
363LF0000X Nurse Practitioner, Family (Licence: TN 32547) | |
Enumeration Date | 2018-02-19 |
Last Update Date | 2024-01-26 |