| NPI | 1245627959 |
|---|---|
| Former Name | KELSEY ESCHETTE PIERCE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical |
| Additional Taxonomies | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant (Licence: LA 140601) |
| 246ZS0410X Specialist/Technologist, Other, Surgical Technologist (Licence: LA 140601) | |
| Enumeration Date | 2015-04-20 |
| Last Update Date | 2015-12-21 |