| NPI | 1780603985 |
|---|---|
| Former Name | KRISTNA ANN KROTOV |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: SC 1217) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA9103616) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2014-03-31 |