| NPI | 1194434621 |
|---|---|
| Former Name | KRISTY LYNN GRISHAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 32789) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11023323) |
| Enumeration Date | 2022-11-23 |
| Last Update Date | 2023-08-22 |