| NPI | 1205190618 |
|---|---|
| Former Name | KRISTEN ELIZABETH TOMBLIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 95004503) |
| Enumeration Date | 2012-06-29 |
| Last Update Date | 2017-07-27 |