NPI | 1184394827 |
---|---|
Former Name | KRISTIN ALLEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: DE LG-0011908) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NH 055003-23) |
Enumeration Date | 2021-09-15 |
Last Update Date | 2022-04-20 |