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 |