| NPI | 1417397324 |
|---|---|
| Former Name | KAYLA RAE ODEGARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: ND 14221) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2013-06-25 |
| Last Update Date | 2019-03-26 |