| NPI | 1518351113 |
|---|---|
| Former Name | KRISTA MICHEL ECKHOFF |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CO DEN 00202775) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2015-03-23 |
| Last Update Date | 2017-01-30 |