NPI | 1093241580 |
---|---|
Former Name | KAYLA KOELLING |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: AK 119983) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AK NURR31988) |
Enumeration Date | 2017-05-03 |
Last Update Date | 2019-09-02 |