NPI | 1487199733 |
---|---|
Former Name | KRISTEN ELAINE WILLIAMS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CO C-APN.0002782-C-NP) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2009004960) |
163W00000X Registered Nurse (Licence: NY 650210) | |
363LF0000X Nurse Practitioner Family (Licence: MO 2016033669) | |
Enumeration Date | 2016-12-22 |
Last Update Date | 2022-03-21 |