| NPI | 1588909048 |
|---|---|
| Former Name | KAYLA SHERCK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: CO 3525) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: CO 3525) |
| Enumeration Date | 2012-12-10 |
| Last Update Date | 2019-12-27 |