NPI | 1295046472 |
---|---|
Former Name | KRISTIN MARIE HOKANSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: MN 54137) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2010-06-23 |
Last Update Date | 2014-04-23 |