NPI | 1548200041 |
---|---|
Former Name | KRISTIN I.T. MCDERMOTT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: KS 05-40309) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: ME 1704) |
Enumeration Date | 2006-06-07 |
Last Update Date | 2019-12-10 |