NPI | 1720437882 |
---|---|
Former Name | DUSKA SUEDE DIXIE HOYLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3010243) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1119928) |
Enumeration Date | 2016-06-09 |
Last Update Date | 2017-02-25 |