| NPI | 1043657919 |
|---|---|
| Former Name | KRISTIN ALLISON SPROCK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MN 80568) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IN 01076626) |
| Enumeration Date | 2013-05-31 |
| Last Update Date | 2025-11-05 |