NPI | 1861492571 |
---|---|
Former Name | ABBEY J KIEFFER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: IL 085001278) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: IN 10000448A) |
Enumeration Date | 2005-07-22 |
Last Update Date | 2009-11-19 |