NPI | 1780036293 |
---|---|
Former Name | KRISTINA A ROBBENNOLT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA OP61072638) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA OL60861783) |
Enumeration Date | 2016-07-08 |
Last Update Date | 2024-08-28 |