NPI | 1851542872 |
---|---|
Former Name | KIM STEVENSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: UT 274276-4405) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: UT 274276-8900) |
Enumeration Date | 2008-10-08 |
Last Update Date | 2023-03-24 |