| NPI | 1194077818 |
|---|---|
| Former Name | CORTNEY KAYROUZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3007673) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71004254A) |
| Enumeration Date | 2012-10-04 |
| Last Update Date | 2020-12-18 |