| NPI | 1780971317 |
|---|---|
| Former Name | KIRSTEN BARISONEK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: NJ 25MD00322300) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: NY 65 P80778) |
| Enumeration Date | 2011-07-04 |
| Last Update Date | 2017-04-04 |