| NPI | 1376052498 |
|---|---|
| Former Name | KRISTI FREEZER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA059333) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: PA MA059333) |
| Enumeration Date | 2017-09-20 |
| Last Update Date | 2023-10-20 |