NPI | 1578727913 |
---|---|
Former Name | KRISTINA RENEE BARTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9104605) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX PA07325) |
Enumeration Date | 2008-07-15 |
Last Update Date | 2019-11-12 |