NPI | 1578707824 |
---|---|
Former Name | KRISTIN MARIE CROUGHWELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: UT 10299311-1205) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: NC 2015-01681) |
207L00000X Anesthesiology (Licence: SC 37151) | |
Enumeration Date | 2009-04-29 |
Last Update Date | 2018-02-27 |