| NPI | 1225365448 |
|---|---|
| Former Name | KRYSTAL KI HOLLINGSHEAD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 14323) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 164971) |
| 363LW0102X Nurse Practitioner Women's Health (Licence: TN 14323) | |
| Enumeration Date | 2009-11-09 |
| Last Update Date | 2022-10-20 |