NPI | 1790454775 |
---|---|
Other Name | KASSANDRA MICHELLE KERNAGIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: AZ 9845) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: IN 10003485A) |
Enumeration Date | 2021-09-13 |
Last Update Date | 2023-09-28 |