| NPI | 1457803165 |
|---|---|
| Former Name | KRISTIN CONNIE ACKERMANN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO MSPA.0000023) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: SD 1059) |
| Enumeration Date | 2016-10-28 |
| Last Update Date | 2025-05-05 |