| NPI | 1508902784 |
|---|---|
| Former Name | KRISTIN JANSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X (Licence: MD D71175) |
| Additional Taxonomies | 2085R0001X (Licence: MD 201794) |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2013-02-15 |