NPI | 1801064878 |
---|---|
Former Name | KAYLA MARIE KAPELS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: NE 1377) |
Additional Taxonomies | 207Y00000X Otolaryngology (Licence: NE 1377) |
Enumeration Date | 2008-02-13 |
Last Update Date | 2012-04-04 |