NPI | 1811098106 |
---|---|
Former Name | DENISE ANN GORE-KIRK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3002171) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 201537) |
363LF0000X Nurse Practitioner, Family (Licence: KY 2171P) | |
Enumeration Date | 2006-09-26 |
Last Update Date | 2023-10-10 |