| NPI | 1972849321 |
|---|---|
| Former Name | KELSEY EPPING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085 005 018) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MO 2012037422) |
| Enumeration Date | 2012-12-12 |
| Last Update Date | 2014-05-13 |