| NPI | 1639100266 |
|---|---|
| Former Name | KRISTINE K. MCCUE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant Surgical (Licence: WV 412) |
| Additional Taxonomies | 363AM0700X Physician Assistant Medical (Licence: WV 412) |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2021-08-18 |