NPI | 1063806552 |
---|---|
Former Name | KRISTA LYNN NEAL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NY 299420) |
Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: NY 299420) |
207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: NY 299420) | |
Enumeration Date | 2015-03-24 |
Last Update Date | 2019-12-03 |