| NPI | 1730686015 |
|---|---|
| Former Name | KAYLA SASSO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209017497) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 041412855) |
| Enumeration Date | 2018-04-12 |
| Last Update Date | 2019-05-07 |