| NPI | 1942553268 |
|---|---|
| Former Name | KALI RICHARDS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OR PA171510) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA PA22594) |
| 363A00000X Physician Assistant (Licence: WA PA60319909) | |
| Enumeration Date | 2012-10-24 |
| Last Update Date | 2019-06-12 |