| NPI | 1184197121 |
|---|---|
| Former Name | KIRSTEN MICHELLE WESA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-08481) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: NC 0010-08481) |
| Enumeration Date | 2019-01-02 |
| Last Update Date | 2023-03-14 |