NPI | 1124472295 |
---|---|
Former Name | KRISTIN NICHOLE PASCH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MI 4704289708) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704289708) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2016-04-14 |
Last Update Date | 2025-07-24 |