| NPI | 1912597279 |
|---|---|
| Former Name | KORTNI ANN DYE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN F07201642) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28222061A) |
| Enumeration Date | 2021-01-21 |
| Last Update Date | 2021-01-21 |