| NPI | 1538487244 |
|---|---|
| Former Name | KRISTY BOOMA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN9245804) |
| Additional Taxonomies | 364SA2100X Clinical Nurse Specialist, Acute Care (Licence: FL ARNP9245804) |
| Enumeration Date | 2010-05-06 |
| Last Update Date | 2022-01-17 |