| NPI | 1508494600 |
|---|---|
| Former Name | COURTNEY KIRKWOOD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1021116) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3013829) |
| Enumeration Date | 2020-04-01 |
| Last Update Date | 2025-05-12 |