| NPI | 1912149170 |
|---|---|
| Former Name | KRISTEN ANN HUDAK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: WI 54773-20) |
| Enumeration Date | 2009-04-01 |
| Last Update Date | 2024-02-22 |