NPI | 1619334471 |
---|---|
Former Name | KAYLA MARIE FINK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NE 1974) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NE 1974) |
Enumeration Date | 2016-01-25 |
Last Update Date | 2024-09-20 |