| NPI | 1417203340 |
|---|---|
| Former Name | KRISTEN S BEHRENS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: CO PA.0005006) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NM PA2012-0024) |
| Enumeration Date | 2012-07-29 |
| Last Update Date | 2019-12-19 |