| NPI | 1295271005 |
|---|---|
| Former Name | KAYLA ELIZABETH BOEHM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MI 5601010870) |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer |
| Enumeration Date | 2017-01-18 |
| Last Update Date | 2021-10-22 |