NPI | 1427421528 |
---|---|
Other Name | KRISTIN CORREAL GARRISON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS 901410) |
Additional Taxonomies | 163WP2201X Registered Nurse, Ambulatory Care (Licence: MS R872043) |
Enumeration Date | 2015-11-11 |
Last Update Date | 2024-12-20 |