Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LW0102X | Nurse Practitioner - Women's Health | 320359 | CA |
NPI | 1093811085 |
---|---|
Provider Name | Mrs. Judy Ann Kaia |
First Address | Bakersfield, CA 93314-9025 |
Second Address | Bakersfield, CA 93309-7032 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/09/2006 |
Last Update Date | 01/10/2021 |