| NPI | 1164658209 |
|---|---|
| Former Name | KRISTEN M O'DONNELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X (Licence: WA MD60444423) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR LL18588) |
| Enumeration Date | 2009-06-03 |
| Last Update Date | 2018-07-30 |