| NPI | 1386483337 |
|---|---|
| Former Name | KAYLA CHAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 409016) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: NY 820710) |
| Enumeration Date | 2024-05-20 |
| Last Update Date | 2026-09-03 |