| NPI | 1013968213 |
|---|---|
| Former Name | KRISTIN ANNE FICKENSCHER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: MO 2005016192) |
| Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: KS 04-32982) |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2022-04-18 |