| NPI | 1811658446 |
|---|---|
| Former Name | KAYLA MARIE WHITE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CO C-APN.0003459-C-NP) |
| Enumeration Date | 2022-01-05 |
| Last Update Date | 2022-05-04 |