| NPI | 1225495914 |
|---|---|
| Former Name | KRISTEN LEIGH WILEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: TX 1057913) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: TX PA13602) |
| Enumeration Date | 2016-01-26 |
| Last Update Date | 2025-09-22 |