| NPI | 1932713948 |
|---|---|
| Former Name | CHRISTINE WESTERVELT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: OR PA206707) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OR PA206707) |
| 363AS0400X Physician Assistant, Surgical (Licence: OR PA206707) | |
| Enumeration Date | 2020-09-08 |
| Last Update Date | 2023-10-20 |