| NPI | 1194284786 |
|---|---|
| Former Name | KAITLYN VICTORIA KISS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: FL PA9114816) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA9114816) |
| Enumeration Date | 2019-03-14 |
| Last Update Date | 2025-06-02 |