| NPI | 1578964532 |
|---|---|
| Former Name | KALI ELIZABETH VAN BUSKIRK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9113067) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 018789) |
| 363AM0700X Physician Assistant Medical (Licence: TX PA09242) | |
| Enumeration Date | 2014-09-09 |
| Last Update Date | 2020-08-10 |