| NPI | 1114608817 |
|---|---|
| Former Name | KYLEE ANN ROSETTE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OR PA216028) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: OR PA216028) |
| Enumeration Date | 2023-07-26 |
| Last Update Date | 2025-08-22 |