| NPI | 1093455636 |
|---|---|
| Former Name | CHRISTY LEE RALSTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: IA 121601) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IA 121601) |
| Enumeration Date | 2022-03-31 |
| Last Update Date | 2026-04-08 |