| NPI | 1881148005 |
|---|---|
| Former Name | KALI SHEPHARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: ND PAC0748) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: IL 085.005909) |
| Enumeration Date | 2016-08-04 |
| Last Update Date | 2019-01-21 |