| NPI | 1588758270 | 
|---|---|
| Former Name | KIRSTEN URSULA TEANEY | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IN 01081385A)  | 
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NH 14241)  | 
| 207RG0100X Internal Medicine, Gastroenterology (Licence: VT 42-0010557)  | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: NC 2008-01383)  | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: SD 13660)  | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 294978)  | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: GA 99004)  | |
| Enumeration Date | 2006-10-03 | 
| Last Update Date | 2024-05-17 |