NPI | 1194486399 |
---|---|
Former Name | KAYLA KRISTINE PAUL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ01273600) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR17387900) |
Enumeration Date | 2022-01-10 |
Last Update Date | 2025-01-07 |