| NPI | 1386978526 |
|---|---|
| Former Name | KELLIE S SCHMALZRIED |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA06421) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX Temp) |
| Enumeration Date | 2009-09-21 |
| Last Update Date | 2022-04-12 |