| NPI | 1285879130 |
|---|---|
| Former Name | KRISTINE MARIE RASMUSSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: CO 0053594) |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: NM MD20130838) |
| Enumeration Date | 2008-12-06 |
| Last Update Date | 2022-09-12 |