| NPI | 1164927802 |
|---|---|
| Former Name | KAYLA ELIZABETH LEIBL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0122X Surgery Plastic and Reconstructive Surgery (Licence: WI 83323-20) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: PA MD483920) |
| 2086S0122X Surgery Plastic and Reconstructive Surgery (Licence: PA MD483920) | |
| Enumeration Date | 2018-03-26 |
| Last Update Date | 2025-07-29 |