NPI | 1841692555 |
---|---|
Former Name | BETHEL HANKINS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3008890) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.16867) |
Enumeration Date | 2014-09-24 |
Last Update Date | 2022-01-25 |