NPI | 1902299902 |
---|---|
Former Name | KRISTINE ANN LAUGHLIN-HALL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: OR PA179154) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2015-03-15 |
Last Update Date | 2021-04-30 |