| NPI | 1154821205 |
|---|---|
| Former Name | KRISTEN IANNARINO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OH 50.005455RX) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: 50.005455RX) |
| Enumeration Date | 2018-02-15 |
| Last Update Date | 2024-03-19 |