| NPI | 1043864572 |
|---|---|
| Former Name | KELLY FASHIMPAUR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA13911) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: TX PA13911) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-08-01 |
| Last Update Date | 2021-07-15 |