NPI | 1679716658 |
---|---|
Former Name | KRISTIN JEAN TERICH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: CA A113599) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A113599) |
Enumeration Date | 2009-04-07 |
Last Update Date | 2024-05-14 |