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 |