| NPI | 1588078398 |
|---|---|
| Former Name | KRISTINE B VASQUEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019031034) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 1223G0001X Dentist, General Practice (Licence: FL DN 21118) | |
| Enumeration Date | 2014-06-19 |
| Last Update Date | 2023-04-18 |