NPI | 1619160132 |
---|---|
Former Name | KRISTEN ELAINE KENNEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: IN 71002381A) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71002381A) |
Enumeration Date | 2007-08-20 |
Last Update Date | 2023-11-27 |