NPI | 1376925008 |
---|---|
Former Name | KRISTIN GOSHORN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO DR0061518) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2015-06-18 |
Last Update Date | 2019-11-04 |