| NPI | 1881124311 |
|---|---|
| Former Name | CHRISTINA MICHELLE SLIEPKA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MO 2023012823) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA 81970) |
| Enumeration Date | 2017-06-18 |
| Last Update Date | 2023-08-01 |