NPI | 1083353866 |
---|---|
Former Name | KRISTIN BARRICK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: KY 3017712) |
Additional Taxonomies | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: KY 3017712) |
363LP0200X Nurse Practitioner, Pediatrics (Licence: KY 3017712) | |
Enumeration Date | 2022-06-01 |
Last Update Date | 2022-08-11 |