| NPI | 1346803079 |
|---|---|
| Former Name | KIERSTEN LEIGH SAPP |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 202302894) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC 250422) |
| Enumeration Date | 2019-04-18 |
| Last Update Date | 2024-09-12 |