NPI | 1407176597 |
---|---|
Former Name | KRISTEL NICOLE TAFOYA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: NM MD20130456) |
Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT197376) |
Enumeration Date | 2010-06-11 |
Last Update Date | 2024-09-26 |