| NPI | 1588288377 |
|---|---|
| Former Name | KELLY ELIZABETH MCNAUGHTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: PA MA061572) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: PA OA005242) |
| 363AM0700X Physician Assistant, Medical | |
| Enumeration Date | 2020-06-08 |
| Last Update Date | 2023-08-07 |