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 |