NPI | 1255845517 |
---|---|
Former Name | KRISTINA YVONNE KEILSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0120X Surgery Pediatric Surgery (Licence: AZ 6879) |
Additional Taxonomies | 207PE0004X Emergency Medicine Emergency Medical Services (Licence: AZ 6978) |
2080P0204X Pediatrics Pediatric Emergency Medicine (Licence: AZ 6978) | |
2086S0120X Surgery Pediatric Surgery (Licence: AZ 6978) | |
Enumeration Date | 2017-11-24 |
Last Update Date | 2021-12-30 |