NPI | 1801026992 |
---|---|
Former Name | KRISTA N KEACHIE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207T00000X Neurological Surgery (Licence: CO DR.0061162) |
Additional Taxonomies | 207T00000X Neurological Surgery (Licence: CA A113957) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2009-07-23 |
Last Update Date | 2018-08-16 |