NPI | 1740608280 |
---|---|
Former Name | KRISTEN E GRAEBER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: IA 46429) |
Additional Taxonomies | 207NP0225X Dermatology Pediatric Dermatology (Licence: IA 46429) |
Enumeration Date | 2014-04-02 |
Last Update Date | 2019-08-26 |