NPI | 1235480856 |
---|---|
Former Name | CHRISTI BURRINGTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: OH 50.008876RX) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: KY PA1751) |
Enumeration Date | 2012-09-21 |
Last Update Date | 2024-09-11 |