| NPI | 1598743593 |
|---|---|
| Former Name | KRISTINA DAWN CHAFIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WV 00830) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: OH 50-002366) |
| 363AS0400X Physician Assistant, Surgical (Licence: NC 0010-00891) | |
| Enumeration Date | 2006-01-09 |
| Last Update Date | 2017-04-11 |