NPI | 1487066015 |
---|---|
Former Name | KRYSTLE SCHNEPPPFISTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01077864A) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01077864A) |
207Q00000X Family Medicine (Licence: IN 11017695A) | |
207Q00000X Family Medicine (Licence: TX R5196) | |
Enumeration Date | 2014-06-02 |
Last Update Date | 2022-08-25 |