| NPI | 1073975314 |
|---|---|
| Former Name | KAYLA DAVIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA.0004604) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA 53268) |
| 363A00000X Physician Assistant (Licence: FL PA 9109147) | |
| Enumeration Date | 2016-03-25 |
| Last Update Date | 2016-05-05 |