NPI | 1477534600 |
---|---|
Former Name | KRISTA M BEHNEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant |
Additional Taxonomies | 363AM0700X Physician Assistant Medical (Licence: FL PA9102906) |
363AM0700X Physician Assistant Medical (Licence: PA MA055207) | |
Enumeration Date | 2005-11-05 |
Last Update Date | 2025-09-02 |