NPI | 1770739153 |
---|---|
Former Name | KRISTEN LYNN FRANK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA053657) |
363A00000X Physician Assistant (Licence: NJ 25MP00207700) | |
Enumeration Date | 2008-08-17 |
Last Update Date | 2019-03-06 |