NPI | 1396344180 |
---|---|
Former Name | KELSEY C CIAMPA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9113510) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2020-10-22 |
Last Update Date | 2023-11-16 |