NPI | 1871186056 |
---|---|
Former Name | COURTNEY EARNEST |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner Gerontology (Licence: FL APRN11006631) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL 11006631) |
Enumeration Date | 2021-02-18 |
Last Update Date | 2024-07-15 |