| NPI | 1285157628 |
|---|---|
| Former Name | KAYLA JENSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95028328) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP134531) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: TX AP134531) | |
| Enumeration Date | 2017-07-18 |
| Last Update Date | 2024-03-19 |