| NPI | 1093042541 |
|---|---|
| Former Name | KRISTEN ELIZABETH MUSSELMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TN 5345) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 012811) |
| 363A00000X Physician Assistant (Licence: IL 085004193) | |
| 363AS0400X Physician Assistant, Surgical (Licence: IL 085004193) | |
| Enumeration Date | 2009-11-04 |
| Last Update Date | 2023-05-30 |