NPI | 1356651020 |
---|---|
Former Name | CHRISTY MATHERLY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WX0200X Registered Nurse, Oncology (Licence: KY 1133885) |
Additional Taxonomies | 163WX0200X Registered Nurse, Oncology (Licence: WV 87404) |
164W00000X Licensed Practical Nurse (Licence: AK 6711) | |
164W00000X Licensed Practical Nurse (Licence: TN 55898) | |
Enumeration Date | 2010-10-15 |
Last Update Date | 2015-03-04 |