| NPI | 1124381371 |
|---|---|
| Former Name | KRISTY LYNN DYER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11012887) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 16800) |
| Enumeration Date | 2012-06-22 |
| Last Update Date | 2023-04-06 |