NPI | 1154770014 |
---|---|
Other Name | KRISTIN KARA NELSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MT MED-PAC-LIC-51706) |
Additional Taxonomies | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: MT 51706) |
Enumeration Date | 2016-06-10 |
Last Update Date | 2024-05-10 |