| NPI | 1255363420 |
|---|---|
| Former Name | KRISTY L WAELTZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036-112397) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036-112397) |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2015-10-29 |