NPI | 1750669768 |
---|---|
Other Name | KRISTINA A KINSELLA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: VA 0110004892) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NC 0010-06224) |
363A00000X Physician Assistant (Licence: NY 014895) | |
Enumeration Date | 2011-07-25 |
Last Update Date | 2024-05-30 |