| NPI | 1811380231 |
|---|---|
| Former Name | CRYSTAL VAHRENHOLD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: KY PA2146) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: AL TA.1793) |
| Enumeration Date | 2015-03-10 |
| Last Update Date | 2024-12-02 |