NPI | 1689768673 |
---|---|
Other Name | KRISTAL JASTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: GA 007452) |
Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: NC 6430) |
363A00000X Physician Assistant (Licence: NC 0010-04041) | |
Enumeration Date | 2006-10-03 |
Last Update Date | 2018-03-17 |