| NPI | 1013145853 |
|---|---|
| Former Name | KRISTAN GAIL JENKINS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: MI 4301088572) |
| Additional Taxonomies | 2085B0100X Radiology Body Imaging (Licence: MI 4301088572) |
| 2085B0100X Radiology Body Imaging (Licence: OH 35098978) | |
| 2085R0202X Radiology Diagnostic Radiology (Licence: OH 35098978) | |
| Enumeration Date | 2009-07-01 |
| Last Update Date | 2022-04-19 |