NPI | 1558027748 |
---|---|
Former Name | KATHLEEN MICHELLE BARKLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5015423) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC BARK-WGX38) |
Enumeration Date | 2021-11-11 |
Last Update Date | 2022-08-11 |