| NPI | 1215599303 |
|---|---|
| Former Name | KRISTIN NIELSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 202104212NP-PP) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: LA 204835) |
| Enumeration Date | 2019-06-28 |
| Last Update Date | 2021-08-02 |