| NPI | 1053726224 |
|---|---|
| Former Name | KRISTEN M BANFIELD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH APRN.CNP.16199) |
| Enumeration Date | 2014-06-26 |
| Last Update Date | 2017-07-12 |