| NPI | 1952465627 |
|---|---|
| Former Name | JAMIE M KISH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: SC 99) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: GA 004637) |
| 367H00000X Anesthesiologist Assistant (Licence: WI 29) | |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2022-09-19 |