NPI | 1083364137 |
---|---|
Former Name | KRISTA THURMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: UT 7690389) |
Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: UT 7690389-4402) |
Enumeration Date | 2022-03-23 |
Last Update Date | 2023-03-09 |