| NPI | 1588039986 |
|---|---|
| Former Name | CHRISTINA KELLY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TN 4220) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 4220) |
| 363A00000X Physician Assistant (Licence: PA MA058672) | |
| 363AM0700X Physician Assistant, Medical (Licence: NJ 25MP00384200) | |
| Enumeration Date | 2015-12-10 |
| Last Update Date | 2024-05-20 |