NPI | 1982081196 |
---|---|
Former Name | KRISTI K ANDERSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: TX U6491) |
Additional Taxonomies | 208000000X Pediatrics (Licence: AR E11591) |
208000000X Pediatrics (Licence: TX U6491) | |
Enumeration Date | 2015-04-27 |
Last Update Date | 2024-01-17 |