NPI | 1174942262 |
---|---|
Former Name | KRISTEN LEIGH PEREZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-04917) |
Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: NC 0010-04917) |
363A00000X Physician Assistant (Licence: TX PA09063) | |
Enumeration Date | 2014-04-16 |
Last Update Date | 2024-01-12 |