| NPI | 1376854521 |
|---|---|
| Former Name | KRISTY LYNN NELSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CO 52475) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CO # TL-2 132) |
| 207P00000X Emergency Medicine (Licence: WI 2439-320) | |
| Enumeration Date | 2010-06-22 |
| Last Update Date | 2022-12-07 |