NPI | 1871014191 |
---|---|
Former Name | KRISTIN LYNN CONSTANTINE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 036.155342) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2017-06-28 |
Last Update Date | 2025-02-25 |