| NPI | 1538525878 |
|---|---|
| Former Name | KRISTIN LEE BATER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MD D0101010) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: VA 0101277510) |
| Enumeration Date | 2015-12-31 |
| Last Update Date | 2024-10-02 |