NPI | 1932461217 |
---|---|
Former Name | KRISTA KARN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME146983) |
Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35.125955) |
Enumeration Date | 2012-06-12 |
Last Update Date | 2023-07-03 |