NPI | 1992349781 |
---|---|
Former Name | ANITA KINLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3013975) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3013975) |
Enumeration Date | 2019-11-05 |
Last Update Date | 2023-04-20 |