| NPI | 1811669278 |
|---|---|
| Former Name | KAYLANN TUCKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: TX 1168170) |
| Enumeration Date | 2021-10-04 |
| Last Update Date | 2024-07-10 |