NPI | 1538469127 |
---|---|
Former Name | KRISTINA LYNN MORGAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: AZ 4757) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: AZ 4757) |
Enumeration Date | 2010-10-28 |
Last Update Date | 2019-04-29 |