| NPI | 1083126809 |
|---|---|
| Former Name | KELLY BRAMEN-SODAHL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: AZ 7523) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: CA 363A00000X) |
| Enumeration Date | 2017-11-02 |
| Last Update Date | 2023-08-01 |