NPI | 1588637961 |
---|---|
Former Name | GINGER RENEE FITZGERALD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 4692P) |
Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: KY 1063460) |
Enumeration Date | 2006-02-08 |
Last Update Date | 2020-12-02 |