| NPI | 1215165337 |
|---|---|
| Former Name | KRISTINE E. RILEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CO 0202314) |
| Additional Taxonomies | 122300000X Dentist (Licence: TX 24653) |
| Enumeration Date | 2009-06-26 |
| Last Update Date | 2016-12-15 |