| NPI | 1144759200 |
|---|---|
| Former Name | CAYLA ELIZABETH PRESTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 23872) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704329694) |
| Enumeration Date | 2017-06-12 |
| Last Update Date | 2021-05-25 |