| NPI | 1902391956 |
|---|---|
| Former Name | CRISTIANNA SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: CO PA.0005457) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CO PA.0005457) |
| Enumeration Date | 2018-06-22 |
| Last Update Date | 2020-06-15 |