NPI | 1215474853 |
---|---|
Former Name | KELSEY JEANNE GRAF |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: OH 50.004940RX) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: OH 50.004940RX) |
Enumeration Date | 2017-01-20 |
Last Update Date | 2024-10-24 |