NPI | 1467658195 |
---|---|
Other Name | M. CHRYSTAL SOLOLA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: WI 4577) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 85000396) |
Enumeration Date | 2007-06-21 |
Last Update Date | 2022-05-05 |