| NPI | 1265683502 |
|---|---|
| Former Name | KRISTEN M. BISSONETTE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: PA MA054821) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: OH 50.002815) |
| Enumeration Date | 2008-10-06 |
| Last Update Date | 2021-03-15 |