| NPI | 1205695145 |
|---|---|
| Former Name | KRISTEN ELIZABETH WATERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: GA RN278770) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: GA RN278770) |
| Enumeration Date | 2024-03-14 |
| Last Update Date | 2025-03-06 |