| NPI | 1497717078 |
|---|---|
| Former Name | KRISTINA N VANDENBOSCH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NM MD2014-0808) |
| Additional Taxonomies | 202K00000X (Licence: NM MD2014-0808) |
| 202K00000X (Licence: CO 43226) | |
| 202K00000X (Licence: TX P9455) | |
| Enumeration Date | 2006-04-06 |
| Last Update Date | 2024-06-26 |