| NPI | 1568434496 |
|---|---|
| Former Name | KRISTA WARE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME94999) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA 054928) |
| Enumeration Date | 2006-02-04 |
| Last Update Date | 2021-05-20 |