NPI | 1518127307 |
---|---|
Former Name | KRISTA MICHELLE GREENE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: KY 49841) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 35.098166) |
Enumeration Date | 2008-06-15 |
Last Update Date | 2017-01-06 |