| NPI | 1629401260 |
|---|---|
| Former Name | KRISTEN LEIGH FALCK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704266015) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209010651) |
| Enumeration Date | 2013-08-19 |
| Last Update Date | 2022-07-19 |