| NPI | 1740800788 |
|---|---|
| Former Name | KAYLA J BROCKWELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 4020267) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 1081653) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: IN 71009988A) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 71009988A) | |
| Enumeration Date | 2020-04-20 |
| Last Update Date | 2024-10-16 |