| NPI | 1437678695 |
|---|---|
| Former Name | KRISTIN LAUREN FISHER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11007369) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 77892) |
| Enumeration Date | 2017-09-19 |
| Last Update Date | 2022-10-17 |