| NPI | 1003505272 |
|---|---|
| Former Name | KRISTIN LYNN SPELDE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4351050906) |
| Enumeration Date | 2023-05-03 |
| Last Update Date | 2023-06-01 |