| NPI | 1043537400 |
|---|---|
| Former Name | KRISTIN ELIZABETH SKURDAHL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MA 262416) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 275004) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: NY 61016) | |
| Enumeration Date | 2010-04-26 |
| Last Update Date | 2018-11-14 |