NPI | 1386288553 |
---|---|
Former Name | KRISTEN PRESGRAVES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: VA 0024178315) |
Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: VA 0024178315) |
Enumeration Date | 2019-10-31 |
Last Update Date | 2023-09-07 |