| NPI | 1548235203 |
|---|---|
| Former Name | JAMIE L. KRIVOSKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA051939) |
| Additional Taxonomies | 363AS0400X Physician Assistant Surgical (Licence: PA MA051939) |
| Enumeration Date | 2006-02-17 |
| Last Update Date | 2011-03-23 |