| NPI | 1053662205 |
|---|---|
| Former Name | CHRISTINE MARIE JODRIE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant Surgical (Licence: MD C0004864) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2012-09-27 |
| Last Update Date | 2012-09-27 |