| NPI | 1164133971 |
|---|---|
| Former Name | KRISTENE GAYLE BAUGHN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KY 3018682) |
| Enumeration Date | 2022-12-13 |
| Last Update Date | 2023-01-27 |