| NPI | 1558777599 |
|---|---|
| Former Name | KAYLA JOSHINE RUMAGE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WI 3394) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical |
| Enumeration Date | 2014-07-10 |
| Last Update Date | 2023-11-02 |