| NPI | 1609342237 |
|---|---|
| Former Name | KRISTIN LYNN KORSTICK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9354596) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL 9354596) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN9354596) | |
| Enumeration Date | 2018-10-22 |
| Last Update Date | 2019-05-23 |