| NPI | 1447713490 |
|---|---|
| Former Name | KRISTIN NICHOLE LOVVORN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: FL ME166145) |
| Enumeration Date | 2019-04-08 |
| Last Update Date | 2024-10-08 |