| NPI | 1477100519 |
|---|---|
| Former Name | KIRSTEN RASHAE VITOLS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IN 71011020A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28236336A) |
| 363L00000X Nurse Practitioner (Licence: IN 71011020A) | |
| Enumeration Date | 2019-08-22 |
| Last Update Date | 2023-11-30 |