NPI | 1679991657 |
---|---|
Former Name | KRISTIN DIONNE WHITELY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2018-00973) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NC 2018-00973) |
Enumeration Date | 2014-04-07 |
Last Update Date | 2021-04-29 |