| NPI | 1841535309 |
|---|---|
| Former Name | KRISTEN A VAHLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085009530) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MO 2023040348) |
| Enumeration Date | 2012-12-10 |
| Last Update Date | 2024-04-05 |