| 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 |