| NPI | 1821594789 | 
|---|---|
| Former Name | KRISTEN LEA VEAL | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME158278) | 
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program | 
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX T9992) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: OR MD213888) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MO 2023006337) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NC 2021-03394) | |
| Enumeration Date | 2018-03-31 | 
| Last Update Date | 2024-09-27 |