NPI | 1043473614 |
---|---|
Former Name | KRISTINA M ZAYAS-BAZAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: CO DR.0071776) |
Additional Taxonomies | 2080S0010X Pediatrics, Sports Medicine (Licence: AZ 43469) |
2080S0010X Pediatrics, Sports Medicine (Licence: TN 43653) | |
Enumeration Date | 2008-07-03 |
Last Update Date | 2023-09-13 |