NPI | 1487028411 |
---|---|
Former Name | KRISTEN KNOLL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP015614) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: PA SP015614) |
363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP015614) | |
363LG0600X Nurse Practitioner, Gerontology (Licence: PA SP015614) | |
Enumeration Date | 2015-11-13 |
Last Update Date | 2022-10-12 |