NPI | 1225617582 |
---|---|
Former Name | KAELA NORTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: KY PA2950) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: KY PA2950) |
363AS0400X Physician Assistant, Surgical (Licence: KY PA2950) | |
Enumeration Date | 2021-04-05 |
Last Update Date | 2024-07-26 |