NPI | 1346323136 |
---|---|
Former Name | CHRISTY L GAIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: WV 661) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: WV 01085) |
Enumeration Date | 2006-10-23 |
Last Update Date | 2022-08-31 |