| NPI | 1750343745 |
|---|---|
| Former Name | KRISTIN NICOLE BISHOP |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WV 1898) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: FL PA9103493) |
| Enumeration Date | 2006-04-05 |
| Last Update Date | 2015-08-18 |