| NPI | 1245725159 |
|---|---|
| Former Name | NAKESHA N BRYANT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3012532) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1103752) |
| Enumeration Date | 2018-06-25 |
| Last Update Date | 2018-07-24 |