NPI | 1093049140 |
---|---|
Former Name | DARLA JEAN KYLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CA PA20530) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: CA 20530) |
Enumeration Date | 2009-09-22 |
Last Update Date | 2016-05-11 |