| 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 |