NPI | 1437857893 |
---|---|
Former Name | KRISTEN HOVDESTAD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: SD R049170) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN 2482409) |
363L00000X Nurse Practitioner (Licence: SD CP002703) | |
Enumeration Date | 2023-02-15 |
Last Update Date | 2023-03-03 |