| NPI | 1912190950 |
|---|---|
| Former Name | KEIRA ROSE GEORGE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NH 1398) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MA 2353) |
| 363AS0400X Physician Assistant, Surgical (Licence: MA 2353) | |
| Enumeration Date | 2007-08-23 |
| Last Update Date | 2023-08-09 |