| NPI | 1972982627 |
|---|---|
| Former Name | KRISTEN WETHERELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 5101021902) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2015-05-28 |
| Last Update Date | 2018-06-25 |