| NPI | 1003430414 |
|---|---|
| Former Name | KAILA REBECCA THORNELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: GA 99043) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2020-06-01 |
| Last Update Date | 2024-06-13 |