NPI | 1710665385 |
---|---|
Former Name | KAYLA BOYD-BAUCUM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: KY 4006747) |
Enumeration Date | 2023-07-05 |
Last Update Date | 2023-07-05 |