| NPI | 1083870471 |
|---|---|
| Former Name | CHRISTINA MARIE DITTIG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: VA 0110002788) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA9106447) |
| Enumeration Date | 2008-08-05 |
| Last Update Date | 2016-11-08 |