NPI | 1144831124 |
---|---|
Former Name | KRISTIN R MEINERSHAGEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MO 2020024770) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2020024770) |
Enumeration Date | 2020-08-12 |
Last Update Date | 2024-12-04 |