| NPI | 1689228181 |
|---|---|
| Former Name | KELSEY GARNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA13935) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical |
| Enumeration Date | 2019-08-01 |
| Last Update Date | 2023-10-31 |