NPI | 1932137155 |
---|---|
Former Name | KELLY DIANN RAMSEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA02547) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA PA17803) |
Enumeration Date | 2006-06-28 |
Last Update Date | 2010-12-16 |