NPI | 1194184796 |
---|---|
Other Name | CHRISTINA LEE HALL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085.007957) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: HI AMD-651) |
Enumeration Date | 2016-02-11 |
Last Update Date | 2022-03-29 |