| NPI | 1396177671 |
|---|---|
| Former Name | ABBIE LEE BAINTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2014036571) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-76003-011) |
| Enumeration Date | 2013-08-08 |
| Last Update Date | 2018-05-17 |