| NPI | 1841632569 |
|---|---|
| Former Name | KRISTEN E SPRAGUE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: VT 055.0031392) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: ME PA1411) |
| 363A00000X Physician Assistant (Licence: CT 003440) | |
| Enumeration Date | 2013-07-23 |
| Last Update Date | 2023-12-06 |