NPI | 1477136307 |
---|---|
Other Name | KRISTIN ALYSE TANIGUCHI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 351309) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95017066) |
Enumeration Date | 2021-04-29 |
Last Update Date | 2023-04-17 |