| NPI | 1114222429 |
|---|---|
| Former Name | CHRISTINA MARIE LANGEVIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CT 002531) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CT 002531) |
| 363AS0400X Physician Assistant, Surgical (Licence: CT 002531) | |
| Enumeration Date | 2011-01-18 |
| Last Update Date | 2015-04-02 |