| NPI | 1548560519 |
|---|---|
| Former Name | KRISTIE RENEE ODEJOKE-MAXWELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: MO 2011009868) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: KS 75273) |
| Enumeration Date | 2010-10-25 |
| Last Update Date | 2019-09-24 |