NPI | 1265763262 |
---|---|
Former Name | KAYLA N NORMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 14946) |
Additional Taxonomies | 163WG0000X Registered Nurse General Practice (Licence: TN 150112) |
Enumeration Date | 2010-01-15 |
Last Update Date | 2023-02-20 |