| NPI | 1457503740 |
|---|---|
| Former Name | CRISTINA MIRANDA CHALK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: AZ 8747) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: SC 1347) |
| Enumeration Date | 2008-10-17 |
| Last Update Date | 2025-03-27 |