| NPI | 1619101979 |
|---|---|
| Former Name | KRISTIN PATRICIA SHULL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OH 35.120206) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: KY 46211) |
| Enumeration Date | 2009-05-14 |
| Last Update Date | 2013-12-13 |