| NPI | 1386998482 |
|---|---|
| Former Name | KALIE EILEEN SANDERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: SC 2342) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085.007492) |
| Enumeration Date | 2012-10-29 |
| Last Update Date | 2023-10-25 |