| NPI | 1215250675 |
|---|---|
| Former Name | KRISTA WOLF |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085.003588) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: WI 2550-23) |
| Enumeration Date | 2010-03-12 |
| Last Update Date | 2023-08-02 |