NPI | 1558522326 |
---|---|
Former Name | KRISTEN L SCHLATHER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA05802) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
363A00000X Physician Assistant (Licence: HI AMD-507) | |
Enumeration Date | 2008-06-24 |
Last Update Date | 2016-05-03 |