NPI | 1497063036 |
---|---|
Former Name | KRISTINA H BRAUN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: WI 2609-23) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085.003813) |
Enumeration Date | 2010-09-16 |
Last Update Date | 2024-11-25 |