NPI | 1457672461 |
---|---|
Former Name | KRISTEN RAE WILLIAMS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: SC 32602) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC LL32602) |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: SC LL32602) | |
Enumeration Date | 2010-06-14 |
Last Update Date | 2019-08-22 |