| 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 |