| NPI | 1922495209 |
|---|---|
| Former Name | KRYSTINA LEIGH SANG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX T0398) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX 46298) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-04-23 |
| Last Update Date | 2021-04-14 |