| NPI | 1912589177 | 
|---|---|
| Former Name | KANDIS LAYNE WRIGHT | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX V3250) | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 72561) | 
| Enumeration Date | 2021-04-26 | 
| Last Update Date | 2025-06-29 |