| NPI | 1952408031 |
|---|---|
| Former Name | LINDA MARIE KERESTES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 006943) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA PA17907) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2010-10-14 |