| NPI | 1487113767 |
|---|---|
| Former Name | KRISTEN PAIGE OLIVER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 24697) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN220950) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-03-18 |
| Last Update Date | 2023-08-16 |