| NPI | 1851605307 |
|---|---|
| Former Name | KRISTINE TATOSYAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TN 57464) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 57464) |
| Enumeration Date | 2010-07-27 |
| Last Update Date | 2023-11-22 |