| NPI | 1144470212 |
|---|---|
| Former Name | KRISTINA M PAVEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: KY PA1160) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: OH 50002911) |
| 363A00000X Physician Assistant (Licence: IN 10001036A) | |
| Enumeration Date | 2008-09-25 |
| Last Update Date | 2018-04-27 |