| NPI | 1609364785 |
|---|---|
| Former Name | KELSEY ELISABETH GRIFFITTS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: VA 0110006122) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TN 3586) |
| Enumeration Date | 2018-04-25 |
| Last Update Date | 2021-10-31 |