| NPI | 1063286599 |
|---|---|
| Former Name | KRISTEN KOHLBRAND |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11026971) |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2023-11-15 |
| Last Update Date | 2026-04-14 |