| NPI | 1205389350 |
|---|---|
| Former Name | KRISTIN BREZOVAR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: TX PA14901) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: OH 50.004742RX) |
| Enumeration Date | 2016-07-25 |
| Last Update Date | 2022-11-17 |