| NPI | 1144651944 |
|---|---|
| Former Name | KACIE ENGLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: AK 2293) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: AK 2293) |
| Enumeration Date | 2013-12-03 |
| Last Update Date | 2016-06-29 |