| NPI | 1376198101 |
|---|---|
| Former Name | KAYLA NICOLE COOK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA18360) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: WA 61128920) |
| Enumeration Date | 2019-08-08 |
| Last Update Date | 2025-02-03 |