NPI | 1710416797 |
---|---|
Former Name | KRISTEN NICOLE BEAM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AL MD.48284) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 00009178) |
Enumeration Date | 2017-06-05 |
Last Update Date | 2024-09-17 |