| NPI | 1700221801 |
|---|---|
| Former Name | KAELA RAE FIELDS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN277074) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MI 4704295204) |
| Enumeration Date | 2013-05-02 |
| Last Update Date | 2018-11-19 |