| NPI | 1972167153 |
|---|---|
| Former Name | KRISTA LANGENBURG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083A0300X Preventive Medicine, Addiction Medicine (Licence: OH 023563) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 4704286243NSA18544) |
| 207Q00000X Family Medicine (Licence: OH 023563) | |
| Enumeration Date | 2019-04-23 |
| Last Update Date | 2020-01-10 |