NPI | 1780918540 |
---|---|
Former Name | KRISTEN DIANE MCCORD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: IL 125-055924) |
Additional Taxonomies | 208000000X Pediatrics (Licence: IN 01096117A) |
208M00000X Hospitalist (Licence: IN 01096117A) | |
Enumeration Date | 2009-09-28 |
Last Update Date | 2025-05-16 |