| NPI | 1639744295 |
|---|---|
| Former Name | KENZEE KAY PEETOOM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical |
| Enumeration Date | 2021-05-25 |
| Last Update Date | 2023-03-07 |