| NPI | 1255850251 |
|---|---|
| Former Name | KRISTIN MICHELLE BARONETSKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP017958) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA pending) |
| Enumeration Date | 2017-09-12 |
| Last Update Date | 2019-05-30 |