| NPI | 1326506429 |
|---|---|
| Former Name | BARBARA DINA KAISSI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MO 2019007313) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MI 5601009927) |
| Enumeration Date | 2019-03-07 |
| Last Update Date | 2023-12-14 |