NPI | 1497310411 |
---|---|
Former Name | KAYLIE A AAKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: ID PA-2553) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA PA.60941453) |
363A00000X Physician Assistant (Licence: WA PA60941453) | |
Enumeration Date | 2019-05-06 |
Last Update Date | 2023-08-08 |