| NPI | 1396059440 |
|---|---|
| Former Name | KRISTEN MARIE BLAKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: CA A141260) |
| Additional Taxonomies | 208C00000X Colon & Rectal Surgery (Licence: CA A141260) |
| Enumeration Date | 2010-07-31 |
| Last Update Date | 2023-02-01 |