| NPI | 1609079839 |
|---|---|
| Other Name | KYWINA MARIE CANNON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: CA 17177) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: CA 17177) |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2022-06-21 |