| NPI | 1679716658 |
|---|---|
| Former Name | KRISTIN JEAN TERICH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: TX V1595) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A113599) |
| 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: CA A113599) | |
| Enumeration Date | 2009-04-07 |
| Last Update Date | 2024-12-16 |