NPI | 1467827360 |
---|---|
Former Name | KRISTINA SELKIRK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: AK 106394) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AK NURR30853) |
Enumeration Date | 2015-12-03 |
Last Update Date | 2015-12-03 |