| NPI | 1104476621 |
|---|---|
| Former Name | KRISTEN LEANNE GAUMER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: IN 28237512A) |
| Additional Taxonomies | 163WP0200X Registered Nurse Pediatrics (Licence: IN 28237512A) |
| Enumeration Date | 2019-09-17 |
| Last Update Date | 2024-07-29 |