| NPI | 1508151648 |
|---|---|
| Former Name | KRISTA LYNN PENTA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: RI MD14656) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: RI LP02240) |
| Enumeration Date | 2011-06-16 |
| Last Update Date | 2015-05-19 |