| NPI | 1194885541 |
|---|---|
| Former Name | KRISTA FREEMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: PA MA056356) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: MD C0003085) |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2014-06-11 |