| NPI | 1780839449 |
|---|---|
| Former Name | KRISTINA ANNE JADLOCKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9105227) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: FL PA9105227) |
| 363AM0700X Physician Assistant, Medical (Licence: WA PA060056738) | |
| Enumeration Date | 2008-11-22 |
| Last Update Date | 2021-04-28 |