NPI | 1821118951 |
---|---|
Former Name | CHRISTINA MARIE MOST |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: MN 11143) |
Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer |
363A00000X Physician Assistant (Licence: MN 11143) | |
Enumeration Date | 2007-03-30 |
Last Update Date | 2018-01-04 |