| NPI | 1356890040 |
|---|---|
| Former Name | KRISTINA NICOLE RAYNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000021187) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN RN0000159540) |
| Enumeration Date | 2016-09-23 |
| Last Update Date | 2016-09-23 |