NPI | 1427534502 |
---|---|
Former Name | GINGER KINNAS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN130464) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN130464) |
Enumeration Date | 2018-07-12 |
Last Update Date | 2022-01-11 |