| NPI | 1932122439 |
|---|---|
| Former Name | TRISTYN AMY CYRIAC |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KS 04-32917) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD00046116) |
| 208000000X Pediatrics (Licence: KS 04-32917) | |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2014-06-09 |