NPI | 1700169505 |
---|---|
Former Name | CYNTHIA BAXLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP3309792) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL ARNP3309792) |
Enumeration Date | 2011-09-28 |
Last Update Date | 2024-02-01 |