NPI | 1053093500 |
---|---|
Former Name | KRISTEN MARIE JEFFERS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: SC 27321) |
Additional Taxonomies | 207VM0101X Obstetrics & Gynecology Maternal & Fetal Medicine (Licence: SC 27321) |
Enumeration Date | 2023-08-03 |
Last Update Date | 2023-09-01 |