| NPI | 1912434820 |
|---|---|
| Former Name | KAYLA P OWENS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 23190) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 194223) |
| Enumeration Date | 2017-05-23 |
| Last Update Date | 2023-10-04 |