| NPI | 1710415005 |
|---|---|
| Former Name | KRISTIN WEIGEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IA 05513) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IA R-10935) |
| Enumeration Date | 2017-05-31 |
| Last Update Date | 2022-08-11 |