| NPI | 1063047371 |
|---|---|
| Former Name | KRISTYN ALLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: IL 209021454) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner Gerontology (Licence: IL 209021454) |
| Enumeration Date | 2020-03-06 |
| Last Update Date | 2020-09-16 |