NPI | 1538355409 |
---|---|
Former Name | KRISTIN ELAINE STONE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: TN PA1550) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: 1079054) |
Enumeration Date | 2007-09-24 |
Last Update Date | 2022-03-24 |