NPI | 1275761280 |
---|---|
Former Name | KIRSTEN JOY MALONE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: CA NP95000911) |
Additional Taxonomies | 363LP0222X Nurse Practitioner Pediatrics, Critical Care (Licence: CA NP95000911) |
Enumeration Date | 2009-06-29 |
Last Update Date | 2023-11-10 |