NPI | 1679137392 |
---|---|
Former Name | KRISTIE ANN SCHIMMING |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207N00000X Dermatology (Licence: GA 9868) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2019-04-29 |
Last Update Date | 2020-09-04 |