| NPI | 1851829964 |
|---|---|
| Former Name | KELSEY L LAGERMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA OA004178) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA059097) |
| Enumeration Date | 2017-06-02 |
| Last Update Date | 2023-10-05 |