| NPI | 1265704613 |
|---|---|
| Former Name | KRISTEN ASHLEY CARGILL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: AZ 5683) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX PA07715) |
| Enumeration Date | 2012-02-01 |
| Last Update Date | 2015-02-11 |