NPI | 1437739166 |
---|---|
Former Name | MEAGHEN LEE TOMPKINS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3015930) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY F03210349) |
Enumeration Date | 2021-04-08 |
Last Update Date | 2024-04-26 |