| NPI | 1306319686 |
|---|---|
| Former Name | KRISTIN E RYAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: WI 8982-33) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 8982-33) |
| Enumeration Date | 2019-01-09 |
| Last Update Date | 2021-01-13 |