| NPI | 1306260682 |
|---|---|
| Former Name | KRISTIN R CHUNG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: IA 073924) |
| Enumeration Date | 2014-02-07 |
| Last Update Date | 2021-08-12 |