| NPI | 1104630383 |
|---|---|
| Former Name | ABBY ELIZABETH MCKASKLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2025-02-06 |
| Last Update Date | 2025-04-30 |