NPI | 1194148007 |
---|---|
Former Name | KAYLA RENEA SELLS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TN 18292) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 18292) |
Enumeration Date | 2014-01-28 |
Last Update Date | 2019-01-16 |