| NPI | 1134415151 |
|---|---|
| Former Name | KRISTIE DOWNS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: KY 03739) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH 011465) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2011-06-28 |
| Last Update Date | 2020-01-02 |