| NPI | 1679715528 |
|---|---|
| Professional Name | KYLE J. FULLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: CT 002043) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: CT 002043) |
| 364SF0001X Clinical Nurse Specialist, Family Health (Licence: CT 002043) | |
| Enumeration Date | 2009-03-24 |
| Last Update Date | 2019-10-22 |