NPI | 1568930196 |
---|---|
Former Name | KATHRYN RUTH HORD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: NC 5011266) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 201853) |
363LP2300X Nurse Practitioner, Primary Care (Licence: NC 201853) | |
Enumeration Date | 2018-11-13 |
Last Update Date | 2021-01-07 |