| NPI | 1336765411 |
|---|---|
| Former Name | KAYLA RENEE METCALF |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: TN 27666) |
| Enumeration Date | 2020-06-24 |
| Last Update Date | 2020-06-24 |