NPI | 1952829749 |
---|---|
Former Name | DEBBRA LYNN KANYA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP018352) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA MK4755849) |
Enumeration Date | 2017-09-01 |
Last Update Date | 2024-07-24 |