| NPI | 1285064154 |
|---|---|
| Former Name | KELLY BARRIERES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA056548) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA OA003160) |
| Enumeration Date | 2013-11-13 |
| Last Update Date | 2025-10-10 |