| NPI | 1649745654 |
|---|---|
| Former Name | KYLA ELAINE BLOUIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: CO APN.0996891-NP) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: OK 116172) |
| Enumeration Date | 2018-10-05 |
| Last Update Date | 2026-05-28 |