| NPI | 1891101267 |
|---|---|
| Former Name | KRISTIN ALICE MATTESON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: DC PA031665) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2014-07-07 |
| Last Update Date | 2024-08-09 |