| NPI | 1902815699 |
|---|---|
| Former Name | KRISTIN MAE CUSHANICK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NY 251022) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2021-06-08 |