| NPI | 1932752581 |
|---|---|
| Other Name | KRISTY LIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: OR D11100) |
| Additional Taxonomies | 122300000X Dentist (Licence: OR D11100) |
| Enumeration Date | 2019-07-23 |
| Last Update Date | 2019-08-28 |