NPI | 1568960615 |
---|---|
Former Name | KAYLA JO CURRIE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: VA 0110009394) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: GA 9652) |
Enumeration Date | 2018-01-24 |
Last Update Date | 2023-07-18 |