| NPI | 1518109172 |
|---|---|
| Former Name | KRISTY ANN JUEDES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MN 63381) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WI 55182-20) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2009-03-28 |
| Last Update Date | 2021-03-11 |