NPI | 1972917755 |
---|---|
Former Name | KELLY H SINGLETON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000018499) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 024171562) |
Enumeration Date | 2014-06-19 |
Last Update Date | 2023-07-24 |