NPI | 1497080808 |
---|---|
Former Name | KRISTY PUTNAM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A121299) |
Additional Taxonomies | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: CA A121299) |
Enumeration Date | 2009-10-03 |
Last Update Date | 2024-04-11 |