| NPI | 1952800195 |
|---|---|
| Former Name | KYLA LEE ANDERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3012047) |
| Additional Taxonomies | 364SF0001X Clinical Nurse Specialist, Family Health (Licence: KY 3012047) |
| Enumeration Date | 2018-02-02 |
| Last Update Date | 2022-02-15 |