| NPI | 1467544221 |
|---|---|
| Former Name | KRISTA LEE GAINES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WA MD60197795) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NC 200400673) |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2011-02-02 |