| NPI | 1578104238 |
|---|---|
| Former Name | CRISTINA BETH BOSTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-09532) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TN 4551) |
| Enumeration Date | 2019-10-03 |
| Last Update Date | 2021-05-20 |