NPI | 1235441528 |
---|---|
Former Name | KRISTY ANNE SNELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 5101018602) |
Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: MI 5101018602) |
Enumeration Date | 2010-07-02 |
Last Update Date | 2016-09-07 |