Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207L00000X | Anesthesiologist | 0102204147 | VA |
N | 208000000X | Pediatrician | 0102204147 | VA |
N | 208000000X | Pediatrician | UO3118 | FL |
Y | 2080P0204X | Pediatric Emergency Doctor | 0102204147 | VA |
NPI | 1144568577 |
---|---|
Provider Name | Dr. Kristin Elizabeth Herbert |
First Address | Virginia Beach, VA 23452-2449 |
Second Address | Virginia Beach, VA 23452 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/01/2013 |
Last Update Date | 13/11/2019 |