| NPI | 1447391271 |
|---|---|
| Former Name | FONDA KAY BARTGES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: FL PA9104425) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 010136-1) |
| 363A00000X Physician Assistant (Licence: FL PA9104425) | |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2015-03-23 |