NPI | 1013063791 |
---|---|
Former Name | KRISTINE ANNE KNUTI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: CO 46792) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CO TL-1766) |
Enumeration Date | 2007-01-26 |
Last Update Date | 2021-03-30 |