NPI | 1326340795 |
---|---|
Former Name | CHRISTINA BELLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NC 0010-09882) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: AZ 4773) |
Enumeration Date | 2010-11-17 |
Last Update Date | 2020-05-14 |