| NPI | 1518343672 |
|---|---|
| Former Name | KRISTEN JOY DOLLAHITE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA.0007175) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TN 2802) |
| Enumeration Date | 2015-07-30 |
| Last Update Date | 2024-09-12 |