| NPI | 1811461908 |
|---|---|
| Former Name | KENZIE DYE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 25241) |
| Additional Taxonomies | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: TN 55) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 25241) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: TN 25241) | |
| Enumeration Date | 2019-01-11 |
| Last Update Date | 2023-03-29 |