NPI | 1619105186 |
---|---|
Former Name | KRISTIN R THORNTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IA DO-04292) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: KS 05-34743) |
Enumeration Date | 2009-06-23 |
Last Update Date | 2023-04-19 |