| NPI | 1326753682 |
|---|---|
| Former Name | KRISTINE K DEAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: MO 2023001832) |
| Enumeration Date | 2023-01-20 |
| Last Update Date | 2023-01-30 |