NPI | 1245488097 |
---|---|
Former Name | CHRISTINA E GARRISON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: KS 1501644) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NE 1394) |
Enumeration Date | 2008-09-05 |
Last Update Date | 2017-11-15 |