| NPI | 1629648597 |
|---|---|
| Former Name | KAYLA COLLINS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: RI APRN02731) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN2281352) |
| Enumeration Date | 2021-07-01 |
| Last Update Date | 2024-09-12 |