| NPI | 1275859076 |
|---|---|
| Former Name | KYLA SHELTON LANG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: AR E-10901) |
| Additional Taxonomies | 208600000X Surgery (Licence: AR E-10901) |
| Enumeration Date | 2010-04-19 |
| Last Update Date | 2019-08-13 |