| NPI | 1528637022 |
|---|---|
| Former Name | KALI WAKEFIELD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TN 6304) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: OK 4586) |
| Enumeration Date | 2021-06-21 |
| Last Update Date | 2025-03-06 |