| NPI | 1205137825 |
|---|---|
| Former Name | KAYLA NICOLE HEIMBACH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA OA002587) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA054503) |
| Enumeration Date | 2010-11-12 |
| Last Update Date | 2023-01-16 |