NPI | 1306891023 |
---|---|
Former Name | CHRISTIE DAWN HAMPTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: KY PA937) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY PA937) |
Enumeration Date | 2006-05-23 |
Last Update Date | 2023-07-28 |