NPI | 1316555659 |
---|---|
Former Name | CHRYSTAL LANDRY KIGHT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA 214585) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: LA RN061843) |
Enumeration Date | 2020-07-22 |
Last Update Date | 2024-08-08 |