| NPI | 1396076634 |
|---|---|
| Former Name | CHRISTINE WENTT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MD C0004109) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA9115395) |
| Enumeration Date | 2010-01-27 |
| Last Update Date | 2024-08-27 |