| NPI | 1134282940 |
|---|---|
| Former Name | KIRSTEN RUTH MARTINSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CO 42920) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MN 39585) |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2007-07-08 |