| NPI | 1326351792 | 
|---|---|
| Former Name | KRISTINA NOELLE WEST | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NE 813)  | 
| Additional Taxonomies | 2083A0100X Preventive Medicine, Aerospace Medicine (Licence: NE 813)  | 
| Enumeration Date | 2010-07-14 | 
| Last Update Date | 2025-09-09 |