| NPI | 1275959199 |
|---|---|
| Former Name | KRISTIN MAUREEN FRALEIGH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2088P0231X Urology, Pediatric Urology (Licence: WI 75861) |
| Additional Taxonomies | 208800000X Urology (Licence: WI 75861) |
| Enumeration Date | 2014-03-16 |
| Last Update Date | 2024-10-21 |