NPI | 1427427178 |
---|---|
Former Name | KRISTEN WEST |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ID 55634) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO 0992200) |
363LF0000X Nurse Practitioner, Family (Licence: WY 362971433) | |
363LF0000X Nurse Practitioner, Family (Licence: WA 60740480) | |
Enumeration Date | 2015-09-23 |
Last Update Date | 2018-10-03 |