| NPI | 1639455660 |
|---|---|
| Former Name | KRISTINA SCHAEFER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: SD 1138) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CO PA.0003284) |
| Enumeration Date | 2011-10-21 |
| Last Update Date | 2019-01-21 |