| NPI | 1699786582 |
|---|---|
| Former Name | KRISTINA D GOSPIC |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CT 1520) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CT 001520) |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2022-05-11 |