| NPI | 1831262070 |
|---|---|
| Former Name | CRISTINA M IRVINE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WI 925) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: WI 925) |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2024-03-20 |