| NPI | 1548619521 |
|---|---|
| Former Name | KRISTIN RENEE RECTOR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WI 14113-33) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MN 10644) |
| 1041C0700X Social Worker, Clinical (Licence: WI 8468-123) | |
| Enumeration Date | 2016-06-09 |
| Last Update Date | 2023-09-25 |