| NPI | 1841282357 |
|---|---|
| Former Name | KRISTINE JOST |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: OR PA00978) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: WA PA10004840) |
| Enumeration Date | 2005-08-19 |
| Last Update Date | 2012-09-13 |