| NPI | 1720613177 |
|---|---|
| Former Name | KAYLA MARIE FRASER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: RI PA01309) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2020-03-05 |
| Last Update Date | 2023-06-12 |