| NPI | 1376081422 |
|---|---|
| Former Name | KRISTIN GRACE ELIZBETH FREED |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MD R253499) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024174438) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R253499) | |
| Enumeration Date | 2017-02-09 |
| Last Update Date | 2024-12-21 |