| NPI | 1114005501 |
|---|---|
| Former Name | KRISTINA JEAN RIDDLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: VA 0102202776) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MD H0069445) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2021-11-22 |