NPI | 1588181861 |
---|---|
Former Name | KAYLA ASHLEY WILLIAMS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 23237) |
Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: TN 000200650) |
Enumeration Date | 2017-08-27 |
Last Update Date | 2019-05-10 |