| NPI | 1154809622 |
|---|---|
| Former Name | KRISTIN BOUNDS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TN 3615) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: VA 0110006306) |
| 363A00000X Physician Assistant (Licence: NC 0010-08196) | |
| Enumeration Date | 2018-08-06 |
| Last Update Date | 2019-04-03 |