NPI | 1386007672 |
---|---|
Former Name | JOY KIDD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: LA AP08884) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: LA RN093448) |
Enumeration Date | 2016-04-04 |
Last Update Date | 2022-09-20 |