| NPI | 1073048807 |
|---|---|
| Former Name | KRISTY MICHELLE BEARDEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: GA 89125) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 89125) |
| Enumeration Date | 2017-04-30 |
| Last Update Date | 2021-11-10 |