NPI | 1093403891 |
---|---|
Former Name | KALYNN MARIE MCDANIEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11008795) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11008795) |
Enumeration Date | 2023-04-28 |
Last Update Date | 2023-06-08 |