| NPI | 1356614796 |
|---|---|
| Other Name | KRISTINE LYNETTE MONTERO NICHOLS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209009118) |
| Enumeration Date | 2012-02-15 |
| Last Update Date | 2016-05-13 |