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 |