| NPI | 1063646974 |
|---|---|
| Former Name | KRISTIN MICHELLE POWELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD D76428) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC 156929) |
| Enumeration Date | 2009-05-06 |
| Last Update Date | 2018-03-17 |