NPI | 1831440189 |
---|---|
Other Name | KESHIA NICOLE AVANT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: VA 0110004003) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: VA 0110004003) |
Enumeration Date | 2012-09-26 |
Last Update Date | 2024-01-12 |