NPI | 1194250829 |
---|---|
Former Name | KAYLA BETH BRIGGS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208600000X Surgery (Licence: MO 2020019977) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2017-05-01 |
Last Update Date | 2025-01-02 |