| NPI | 1437800430 |
|---|---|
| Former Name | KAYLA JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 28210163A) |
| Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: IN 71012064A) |
| Enumeration Date | 2022-01-12 |
| Last Update Date | 2022-03-03 |