| NPI | 1437562089 |
|---|---|
| Former Name | KRISTIN SICA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA MD465631) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: DE 0012862) |
| Enumeration Date | 2014-06-10 |
| Last Update Date | 2022-11-14 |