| NPI | 1316996572 |
|---|---|
| Former Name | KRISTY LYNN PRICE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 39119) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN MD0000039119) |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2009-09-23 |