NPI | 1609118389 |
---|---|
Former Name | KRISTINE MARIE BUDD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: FL OS13857) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2013-03-20 |
Last Update Date | 2017-05-31 |