NPI | 1891159794 |
---|---|
Former Name | KEYONNA WILLIAMS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 20196) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: SC 20196) |
363LF0000X Nurse Practitioner, Family (Licence: NM 71593) | |
390200000X Student in an Organized Health Care Education/Training Program (Licence: SC 204921) | |
Enumeration Date | 2016-04-07 |
Last Update Date | 2023-05-15 |