| NPI | 1003336579 |
|---|---|
| Former Name | KRISTIN A WELTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 20904) |
| 363AM0700X Physician Assistant, Medical (Licence: 020904) | |
| Enumeration Date | 2017-06-26 |
| Last Update Date | 2023-06-29 |