NPI | 1962510412 |
---|---|
Other Name | KRISTEN A BLUE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME153506) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: SC LL27207) |
Enumeration Date | 2006-08-25 |
Last Update Date | 2022-03-23 |