NPI | 1477853612 |
---|---|
Former Name | KAYLA L SEDOR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant |
Additional Taxonomies | 363AM0700X Physician Assistant Medical (Licence: PA MA054365) |
363AM0700X Physician Assistant Medical | |
Enumeration Date | 2010-10-21 |
Last Update Date | 2024-11-23 |