NPI | 1033857180 |
---|---|
Former Name | KAYLA ANN YOB |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 5101027993) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2022-05-26 |
Last Update Date | 2025-06-06 |