NPI | 1487251617 |
---|---|
Former Name | KRISTINA MARIE MCDOWELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 28257) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 28257) |
Enumeration Date | 2020-10-01 |
Last Update Date | 2020-11-12 |