NPI | 1578923371 |
---|---|
Former Name | KRISTIN ASHLEY COX |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 21012) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MS 901471) |
Enumeration Date | 2016-03-07 |
Last Update Date | 2022-04-05 |