| NPI | 1356749808 |
|---|---|
| Former Name | CRYSTAL LYNN ZELINSKE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MI 5601010834) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MD C0005601) |
| Enumeration Date | 2014-12-16 |
| Last Update Date | 2021-11-17 |