NPI | 1710182753 |
---|---|
Former Name | KIRSTEN ANNE ABBEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9107453) |
Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: NC 1276) |
363A00000X Physician Assistant | |
Enumeration Date | 2007-06-19 |
Last Update Date | 2024-04-17 |