| NPI | 1982011698 |
|---|---|
| Former Name | KRISTEN ELIZABETH KANE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: RI PA00766) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: WI 3642) |
| 363A00000X Physician Assistant (Licence: MA PA6126) | |
| 363A00000X Physician Assistant (Licence: WI 3642-23) | |
| Enumeration Date | 2014-07-14 |
| Last Update Date | 2022-08-01 |