| NPI | 1609438415 |
|---|---|
| Former Name | KRISTEN ELIZABETH COUSINO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NJ00930100) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00930100) |
| Enumeration Date | 2019-07-01 |
| Last Update Date | 2022-06-10 |