NPI | 1790704146 |
---|---|
Former Name | PAULA STEWART |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3003896) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3003896) |
Enumeration Date | 2006-07-18 |
Last Update Date | 2020-08-04 |