Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | ME151475 | FL |
Y | 2080P0210X | Pediatric Nephrologist | ME151475 | FL |
NPI | 1538501937 |
---|---|
Provider Name | Dr. Vaka Kristin Sigurjonsdottir |
First Address | Hartford, CT 06106-3322 |
Second Address | Miami, FL 33136-1005 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/07/2013 |
Last Update Date | 13/10/2021 |