| NPI | 1730639451 |
|---|---|
| Former Name | KRISTEN ABBI CHAFFIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: IL 085006060) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical |
| Enumeration Date | 2016-10-05 |
| Last Update Date | 2019-06-12 |