| NPI | 1013126044 |
|---|---|
| Former Name | CHRISTIN ROSE CHAMBERLAIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA21934) |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: GA AT001307) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2013-02-12 |