| NPI | 1245059997 |
|---|---|
| Former Name | KIZZY CHAUNTA RAGLAND |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: KY 1152844) |
| Additional Taxonomies | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: KY 1152844) |
| Enumeration Date | 2024-10-09 |
| Last Update Date | 2024-10-09 |