| NPI | 1164730487 |
|---|---|
| Former Name | KRISTIN KATHLEEN LANG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-02551) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: NC 001002551) |
| Enumeration Date | 2010-09-21 |
| Last Update Date | 2021-08-20 |