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 |