| NPI | 1538507538 |
|---|---|
| Former Name | KRISTINE URBAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: IL 036-140299) |
| Additional Taxonomies | 208600000X Surgery (Licence: OH 036140299) |
| Enumeration Date | 2013-06-12 |
| Last Update Date | 2021-05-05 |