NPI | 1205353398 |
---|---|
Former Name | KALA KIELBASA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: TN 3416) |
Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TN 3416) |
208600000X Surgery (Licence: TN 3416) | |
Enumeration Date | 2017-08-29 |
Last Update Date | 2023-08-01 |