| NPI | 1487159976 |
|---|---|
| Former Name | CHRISTA CHEYENNE MCKAHAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MO 2020038020) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MO 2018020725) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-03-27 |
| Last Update Date | 2021-11-09 |