NPI | 1285296285 |
---|---|
Former Name | KAYLA ELIZABETH SNYDER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: IA 097445) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: IA 097445) |
Enumeration Date | 2019-07-01 |
Last Update Date | 2022-10-01 |