| NPI | 1487815056 |
|---|---|
| Former Name | KELLY ELIZABETH ROBINSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-02044) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NC 0010-02044) |
| 363AM0700X Physician Assistant, Medical (Licence: OR PA01364) | |
| Enumeration Date | 2008-06-17 |
| Last Update Date | 2021-05-12 |