NPI | 1780038638 |
---|---|
Former Name | KRISTEN ROBERSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: UT 12227268-1204) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: UT 12227268-1204) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2016-04-18 |
Last Update Date | 2021-08-31 |