| NPI | 1114271798 |
|---|---|
| Former Name | KRISTEN MARIE MANNIER AND SOFIA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics Adolescent Medicine (Licence: AZ 5200) |
| Enumeration Date | 2012-11-02 |
| Last Update Date | 2021-07-15 |