| NPI | 1982048609 |
|---|---|
| Former Name | KRISTI ALISON WALLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MO 2022027325) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: KS 04-46298) |
| 207L00000X Anesthesiology (Licence: CA A171875) | |
| 207L00000X Anesthesiology (Licence: RI LP04270) | |
| Enumeration Date | 2013-04-24 |
| Last Update Date | 2022-08-24 |