| NPI | 1255992160 |
|---|---|
| Former Name | CAILA CAROLYN COALE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MI 5601009489) |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2019-06-23 |
| Last Update Date | 2024-12-10 |