| NPI | 1609547488 |
|---|---|
| Former Name | KRISTEN DIRKS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ID 54159) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP61226691) |
| Enumeration Date | 2021-09-22 |
| Last Update Date | 2024-05-28 |