| NPI | 1275960338 |
|---|---|
| Former Name | KRISTIN FRANCES DEFENBAUGH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: MN 2473) |
| Enumeration Date | 2013-10-03 |
| Last Update Date | 2013-10-03 |