NPI | 1396399960 |
---|---|
Former Name | KELSEA R FLOYD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2019041570) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2013019176) |
363LF0000X Nurse Practitioner, Family (Licence: KS 53-79122-031) | |
Enumeration Date | 2019-07-31 |
Last Update Date | 2019-12-27 |