| NPI | 1487958625 |
|---|---|
| Former Name | KRISTIN LEIGH MATUSHEVSKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: VA 0110003507) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical |
| Enumeration Date | 2011-01-03 |
| Last Update Date | 2013-09-04 |