| NPI | 1528453347 |
|---|---|
| Former Name | KRISTIN ROENSCH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: WI 75866) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: WI 75866) |
| Enumeration Date | 2015-03-30 |
| Last Update Date | 2022-01-21 |