| NPI | 1548422801 |
|---|---|
| Former Name | KRISTI ANN PARKS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 51969) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital |
| Enumeration Date | 2008-06-27 |
| Last Update Date | 2021-03-11 |