| NPI | 1215309885 |
|---|---|
| Former Name | KRISTINA LINES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CT 5031) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA 52959) |
| Enumeration Date | 2015-10-22 |
| Last Update Date | 2023-02-10 |