NPI | 1952951386 |
---|---|
Other Name | KRISTEN KIMBERLEY CAIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: SC PA3665) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX PA13065) |
363A00000X Physician Assistant | |
Enumeration Date | 2019-09-17 |
Last Update Date | 2024-06-06 |