NPI | 1588939631 |
---|---|
Former Name | KRISTY A SCOTT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: IA 04693) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2012-03-21 |
Last Update Date | 2020-11-10 |