NPI | 1083241699 |
---|---|
Former Name | CHRISTA HOWER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: KS 1502326) |
Additional Taxonomies | 363A00000X Physician Assistant |
363A00000X Physician Assistant (Licence: MO 2019047151) | |
Enumeration Date | 2020-03-24 |
Last Update Date | 2024-07-25 |