| NPI | 1477120582 |
|---|---|
| Former Name | KRISTEN MICHELE TANKURSLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95017466) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 95017466) |
| Enumeration Date | 2021-06-07 |
| Last Update Date | 2022-02-23 |