NPI | 1659726297 |
---|---|
Former Name | KRISTIN M PLESE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: WI 8023) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: MI 5601007757) |
Enumeration Date | 2016-05-02 |
Last Update Date | 2024-10-08 |