NPI | 1063876845 |
---|---|
Former Name | KRISTEN A MCFALLS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: LA 323578) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2016-04-07 |
Last Update Date | 2021-05-04 |