NPI | 1881067056 |
---|---|
Former Name | JASMINE COWHERD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024184713) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3009847) |
Enumeration Date | 2015-11-10 |
Last Update Date | 2023-01-31 |