NPI | 1831713288 |
---|---|
Former Name | KISHA HINTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 24048) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC F06200042) |
Enumeration Date | 2020-06-02 |
Last Update Date | 2023-02-27 |