NPI | 1871869966 |
---|---|
Former Name | KRISTIN MARIT MAWK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: MN 71403) |
Additional Taxonomies | 208000000X Pediatrics (Licence: TX Q2538) |
208000000X Pediatrics (Licence: PA MD457572) | |
208000000X Pediatrics (Licence: WI 80086) | |
Enumeration Date | 2012-03-22 |
Last Update Date | 2025-06-29 |