NPI | 1043413842 |
---|---|
Former Name | KRISTEN M ANDERSEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: MO 2008029936) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2006015655) |
Enumeration Date | 2007-06-08 |
Last Update Date | 2011-12-29 |