| NPI | 1194847707 |
|---|---|
| Former Name | KRISTEN ANN SAMUHEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 2009-00406) |
| Additional Taxonomies | 207QS0010X Family Medicine, Sports Medicine (Licence: NC 2009-00406) |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2025-01-02 |