| NPI | 1649321837 |
|---|---|
| Former Name | CHRISTINA A. BLACK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: AZ 3399) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: AZ 3399) |
| Enumeration Date | 2007-01-15 |
| Last Update Date | 2016-07-14 |