| NPI | 1790931301 |
|---|---|
| Former Name | KRISTI ELIZABETH MAHAFFEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: KY 43860) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IN 01071049A) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX BP20030277) | |
| Enumeration Date | 2008-08-14 |
| Last Update Date | 2019-03-14 |