NPI | 1598227670 |
---|---|
Former Name | KRISTINA MICHAUD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: TX T6520) |
Additional Taxonomies | 207NP0225X Dermatology, Pediatric Dermatology (Licence: TX T6520) |
Enumeration Date | 2019-04-05 |
Last Update Date | 2025-06-26 |