NPI | 1912369513 |
---|---|
Former Name | KELSEY RACHELLE THURMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: HI APRN-3236) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60127888) |
Enumeration Date | 2016-03-22 |
Last Update Date | 2022-09-20 |