| NPI | 1174202980 |
|---|---|
| Former Name | KRISTIN PAGE GAUDREAU |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA63053) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: CA 1174202980) |
| Enumeration Date | 2023-07-18 |
| Last Update Date | 2024-11-21 |