| NPI | 1366641623 |
|---|---|
| Former Name | KRISTINZA RENEE WOODARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: WA ML20008949) |
| Additional Taxonomies | 207ZF0201X Pathology Forensic Pathology (Licence: WI 55914-20) |
| Enumeration Date | 2007-07-16 |
| Last Update Date | 2011-06-24 |