| NPI | 1891107702 |
|---|---|
| Former Name | KRISTEN NICOLE DEYOUNG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: SC 81909) |
| Additional Taxonomies | 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck (Licence: SC 81909) |
| Enumeration Date | 2014-05-27 |
| Last Update Date | 2023-05-25 |