NPI | 1598210429 |
---|---|
Former Name | KRISTEN ESTHER OLEX |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MI 4704281156) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MI 4704281156) |
Enumeration Date | 2016-08-21 |
Last Update Date | 2023-05-17 |