NPI | 1245864297 |
---|---|
Former Name | KRISTIN LAMASTERS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 58138) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical |
Enumeration Date | 2020-02-28 |
Last Update Date | 2024-01-26 |