NPI | 1164778817 |
---|---|
Former Name | KRISTINA MEDHUS BRALY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX R2817) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: NC 2016-01049) |
207LP2900X Anesthesiology, Pain Medicine (Licence: NC 2016-01049) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2012-07-31 |
Last Update Date | 2020-08-24 |