NPI | 1639980543 |
---|---|
Former Name | BALEIGH NICOLE BOYD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 4034516) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: KY 4034516) |
Enumeration Date | 2025-01-20 |
Last Update Date | 2025-02-26 |