NPI | 1447303912 |
---|---|
Former Name | KRISTIN ANN ABBOTT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LW0102X Nurse Practitioner Women's Health (Licence: RI APRN00755) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA 258386) |
Enumeration Date | 2007-01-19 |
Last Update Date | 2024-04-05 |