| NPI | 1124572540 |
|---|---|
| Former Name | KRISTEN CONNELLY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60675856) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP60675853) |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP60675853) | |
| 363LF0000X Nurse Practitioner, Family (Licence: PA SP016364) | |
| Enumeration Date | 2016-08-15 |
| Last Update Date | 2023-09-25 |