| NPI | 1407800865 |
|---|---|
| Former Name | KIRSTEN M MAAKESTAD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: ID M11773) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MO 2000172092) |
| 207Q00000X Family Medicine (Licence: MN 50492) | |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2012-12-29 |