| NPI | 1164673547 |
|---|---|
| Former Name | KRISTINA MARIE KOBBEMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: IL 096.001378) |
| Enumeration Date | 2008-10-03 |
| Last Update Date | 2010-02-05 |