NPI | 1649605197 |
---|---|
Former Name | KRISTINA MICHELLE HANNA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA056234) |
Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: PA MA056234) |
Enumeration Date | 2013-09-03 |
Last Update Date | 2024-02-29 |