| NPI | 1871028647 |
|---|---|
| Former Name | KRYSTLE RENEE IRIZARRY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL OS15671) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NV DO22718) |
| 208M00000X Hospitalist (Licence: FL OS15671) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-04-28 |
| Last Update Date | 2024-03-25 |