NPI | 1477967909 |
---|---|
Other Name | KRISTIN RONAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MD RES000) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT207406) |
Enumeration Date | 2014-06-12 |
Last Update Date | 2019-12-16 |