| NPI | 1487941118 |
|---|---|
| Former Name | KAYLA MARIE KUMM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NE 2356) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: SD 0786) |
| Enumeration Date | 2011-07-01 |
| Last Update Date | 2022-02-01 |