| NPI | 1740800788 |
|---|---|
| Former Name | KAYLA J BROCKWELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: IN 71009988A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71009988A) |
| Enumeration Date | 2020-04-20 |
| Last Update Date | 2023-04-12 |