NPI | 1457327884 |
---|---|
Former Name | KRISTEN CORRINE NELSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX M2658) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OK 37390) |
Enumeration Date | 2006-02-25 |
Last Update Date | 2021-02-08 |