NPI | 1528155652 |
---|---|
Former Name | KASSANDRA BARKLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TN APN8184) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN APN8184) |
Enumeration Date | 2006-10-09 |
Last Update Date | 2022-03-29 |