| NPI | 1073046157 | 
|---|---|
| Former Name | KRISTIN DEMOSTHENES | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: SC 84616)  | 
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TN 59117)  | 
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-04-06 | 
| Last Update Date | 2020-06-19 |