Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | OS13885 | FL |
Y | 2080P0204X | Pediatric Emergency Doctor | OS 13885 | FL |
NPI | 1285064543 |
---|---|
Provider Name | Christine Marie Krier |
First Address | Pensacola, FL 32514-6039 |
Second Address | Pensacola, FL 32514-6039 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/11/2013 |
Last Update Date | 14/05/2020 |