| NPI | 1558637991 |
|---|---|
| Former Name | KRISTA JOY WILLINGHAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 34.016360) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX Q4547) |
| Enumeration Date | 2012-03-29 |
| Last Update Date | 2023-06-07 |