| NPI | 1689010738 |
|---|---|
| Former Name | KRISTINA E HENNE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR DO176817) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: UT 9176939-1204) |
| 207Q00000X Family Medicine (Licence: MT 104267) | |
| Enumeration Date | 2013-05-16 |
| Last Update Date | 2025-02-11 |