| NPI | 1437157187 |
|---|---|
| Former Name | KRISTIN MATELIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: PA MD419569) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: NJ 25MA07668200) |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2020-12-11 |