| 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 |