| NPI | 1154591055 |
|---|---|
| Former Name | KRISTAL NICOLE LAY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: TN 24117) |
| Enumeration Date | 2008-03-06 |
| Last Update Date | 2018-06-28 |