| NPI | 1821878638 | 
|---|---|
| Former Name | KAYLEE RAE LEBORGNE | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9117963) | 
| Additional Taxonomies | 2086S0127X Surgery, Trauma Surgery (Licence: FL 9117963) | 
| Enumeration Date | 2023-10-02 | 
| Last Update Date | 2025-05-29 |