NPI | 1679670202 |
---|---|
Former Name | BETH A PIERCE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3004408) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 4408P) |
Enumeration Date | 2006-09-17 |
Last Update Date | 2015-07-14 |