| NPI | 1609262849 |
|---|---|
| Former Name | KAYLA HAAG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080S0010X Pediatrics, Sports Medicine (Licence: TX u0215) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OK 6817) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-04-14 |
| Last Update Date | 2022-12-15 |