NPI | 1801160445 |
---|---|
Former Name | KAELY ELIZABETH AIKMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA055257) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: PA MA055257) |
Enumeration Date | 2012-02-29 |
Last Update Date | 2020-11-19 |