NPI | 1780856013 |
---|---|
Former Name | KRISTINA LOUISE JANSSEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: AL DO.1109) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2008-03-26 |
Last Update Date | 2012-08-21 |