NPI | 1053388488 |
---|---|
Former Name | KRISTIN SAPP |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant Medical (Licence: NY 006092) |
Additional Taxonomies | 363AM0700X Physician Assistant Medical (Licence: NY 6092) |
Enumeration Date | 2006-03-03 |
Last Update Date | 2023-05-15 |