NPI | 1336371285 |
---|---|
Former Name | KRISTY FAYE HINCHMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: CA A120835) |
Additional Taxonomies | 207N00000X Dermatology (Licence: TX BP10034283) |
Enumeration Date | 2009-08-11 |
Last Update Date | 2017-02-09 |