| NPI | 1649422619 |
|---|---|
| Former Name | KRISTIN MARIE WYER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WI 4402-23) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085.003246) |
| Enumeration Date | 2008-10-21 |
| Last Update Date | 2023-03-13 |