NPI | 1962992479 |
---|---|
Former Name | MCKENZIE DEE NORRIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 247982) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL ARNP9378202) |
Enumeration Date | 2018-05-10 |
Last Update Date | 2021-09-08 |