| NPI | 1619758000 |
|---|---|
| Former Name | KAYLA GOODING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: KY 4017669) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: KY 1144860) |
| Enumeration Date | 2023-10-11 |
| Last Update Date | 2024-06-05 |