| NPI | 1043615644 |
|---|---|
| Former Name | KRISTINA WEST |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2014-10-27 |
| Last Update Date | 2020-06-04 |