| NPI | 1639242035 |
|---|---|
| Former Name | SUSAN MARIE KRISTENSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IL 036-103272) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: UT 10411530-1205) |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2022-03-01 |