| NPI | 1588818587 |
|---|---|
| Former Name | KAYLA LYN EVANS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71007109A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28173569A) |
| Enumeration Date | 2008-11-05 |
| Last Update Date | 2020-02-21 |