NPI | 1285304691 |
---|---|
Other Name | KELLI C HUGHES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: VA 0110007979) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: VA 1162554) |
Enumeration Date | 2021-09-16 |
Last Update Date | 2023-03-01 |