| NPI | 1639564313 |
|---|---|
| Former Name | JUDY ANN LYLES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: KS 14-130459-062) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2010024055) |
| Enumeration Date | 2015-03-31 |
| Last Update Date | 2015-03-31 |