NPI | 1134363302 |
---|---|
Former Name | KRISTIN ELIZABETH REZEK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: AL 1-110237) |
Enumeration Date | 2009-04-30 |
Last Update Date | 2009-04-30 |