| NPI | 1144008319 |
|---|---|
| Former Name | KAYLA JAQUES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SD CP002952) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IA A183649) |
| 363LF0000X Nurse Practitioner, Family (Licence: IA A183649) | |
| 363LF0000X Nurse Practitioner, Family (Licence: SD CP002952) | |
| Enumeration Date | 2023-09-19 |
| Last Update Date | 2025-03-25 |