NPI | 1043799927 |
---|---|
Former Name | CHRISTINA ALYSSE CARTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: NY 022460) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical |
Enumeration Date | 2018-08-10 |
Last Update Date | 2021-10-05 |