NPI | 1306460290 |
---|---|
Other Name | KACI HARDSOCK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: CO PA.0007720) |
Enumeration Date | 2020-06-05 |
Last Update Date | 2023-03-14 |