NPI | 1093469793 |
---|---|
Former Name | KRISTEN KALA BREEM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LC0200X Nurse Practitioner Critical Care Medicine (Licence: MA 549912241844) |
Enumeration Date | 2022-02-10 |
Last Update Date | 2022-02-10 |