| NPI | 1609234368 |
|---|---|
| Former Name | KAYLA JEAN PREISLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: PA MA058068) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: PA MA058068) |
| Enumeration Date | 2016-02-09 |
| Last Update Date | 2021-09-10 |