| NPI | 1912595968 |
|---|---|
| Former Name | KAYLA ELIZABETH COOK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OH 50.007965RX) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: OH APP-000665308) |
| Enumeration Date | 2021-01-05 |
| Last Update Date | 2023-11-20 |