NPI | 1760775225 |
---|---|
Former Name | KRISTINA LEIGH HUSMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: OR DO181968) |
Additional Taxonomies | 208000000X Pediatrics (Licence: CO DR.0053783) |
2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: WA OP60744245) | |
Enumeration Date | 2011-05-17 |
Last Update Date | 2022-07-21 |