NPI | 1396892261 |
---|---|
Former Name | KRISTIN JOY EHST |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: TN MD40712) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 40712) |
208000000X Pediatrics (Licence: TN 40712) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2007-01-04 |
Last Update Date | 2012-09-20 |