| NPI | 1346673647 |
|---|---|
| Former Name | KATOSHA NICOLE THORNSBERRY-RUSSELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3008196) |
| Enumeration Date | 2013-08-10 |
| Last Update Date | 2013-09-05 |