| NPI | 1568350627 |
|---|---|
| Former Name | KIYLA ORTMANN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: IA A186406) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IA 133793) |
| Enumeration Date | 2025-06-26 |
| Last Update Date | 2025-08-15 |