NPI | 1508954827 |
---|---|
Former Name | KRISTEN LYNN OSSA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: ME MD27400) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AK MED6829) |
Enumeration Date | 2006-10-11 |
Last Update Date | 2023-11-05 |