| NPI | 1689071805 |
|---|---|
| Former Name | KRISTINE REBECCA GAUTHIER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: VA 0110006625) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2014-12-03 |
| Last Update Date | 2023-01-09 |