| NPI | 1104211390 |
|---|---|
| Former Name | KRISTY ANN-MAY TAYAPONGSAK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2019-00585) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR MD187192) |
| Enumeration Date | 2015-04-03 |
| Last Update Date | 2020-08-25 |