| NPI | 1770093833 |
|---|---|
| Former Name | KRISTEN DURBANIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: PA MA059341) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2017-10-03 |
| Last Update Date | 2024-05-17 |