| NPI | 1154818664 |
|---|---|
| Former Name | KRYSTAL BALAGOT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism (Licence: NJ 25MB11155600) |
| Enumeration Date | 2018-04-19 |
| Last Update Date | 2023-07-17 |