NPI | 1124361241 |
---|---|
Former Name | KRISTINA BRITTANY CUMMINS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OR DO198364) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 011889) |
207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WI 67012-21) | |
Enumeration Date | 2013-03-27 |
Last Update Date | 2020-09-11 |