| NPI | 1295548006 |
|---|---|
| Former Name | KRISTEN BECK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: GA RN258617) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN258617) |
| Enumeration Date | 2025-01-28 |
| Last Update Date | 2025-02-18 |