| NPI | 1295150233 |
|---|---|
| Former Name | KAYLA ANN CZMOWSKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NE 1934) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: SD 0914) |
| Enumeration Date | 2014-02-27 |
| Last Update Date | 2019-03-28 |