NPI | 1760672281 |
---|---|
Former Name | KRISTY Z LEVARITY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 063709) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA 63709) |
Enumeration Date | 2007-07-31 |
Last Update Date | 2022-03-01 |