NPI | 1033790415 |
---|---|
Former Name | KRISTEN LACEY POST |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CA 59302) |
Additional Taxonomies | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: CA 59302) |
363AS0400X Physician Assistant, Surgical (Licence: CA 59302) | |
Enumeration Date | 2021-04-18 |
Last Update Date | 2021-04-18 |