NPI | 1891105805 |
---|---|
Former Name | ABBY HAND |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN235091) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AL 1-127328) |
363L00000X Nurse Practitioner (Licence: TN RN0000180759) | |
Enumeration Date | 2014-04-29 |
Last Update Date | 2014-04-29 |