NPI | 1316587165 |
---|---|
Former Name | KRISTEN MITCHELL-LABNO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: IN 71009754A) |
Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MI 4704400373) |
Enumeration Date | 2020-01-09 |
Last Update Date | 2024-10-29 |