NPI | 1720537335 |
---|---|
Former Name | CYNTHIA RENEE' BARRETT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AL 1-117172) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-117172) |
363LP2300X Nurse Practitioner, Primary Care (Licence: AL 1-117172) | |
363LX0106X Nurse Practitioner, Occupational Health (Licence: AL 1-117172) | |
Enumeration Date | 2016-09-23 |
Last Update Date | 2021-04-05 |