| NPI | 1528011467 |
|---|---|
| Former Name | CHRISTI ANN CHREENE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: CT 23.003869) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: LA PA.A10291.RX) |
| 363A00000X Physician Assistant (Licence: CT 23.003869) | |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2022-06-15 |