| NPI | 1003494485 |
|---|---|
| Former Name | KELSEY NICOLE EDINGER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA14557) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2021-03-29 |
| Last Update Date | 2022-06-07 |