| NPI | 1407247281 |
|---|---|
| Former Name | KAYLA ANN SCALLY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN2284813) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MA RN2284813) |
| Enumeration Date | 2015-02-14 |
| Last Update Date | 2021-10-27 |