| NPI | 1649781691 |
|---|---|
| Former Name | KAYLA MARIE CUMMINS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3012111) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1137267) |
| Enumeration Date | 2017-10-17 |
| Last Update Date | 2022-05-26 |