NPI | 1669847109 |
---|---|
Former Name | KRISTIN HALL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 026130) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0992083-NP) |
Enumeration Date | 2015-12-09 |
Last Update Date | 2023-08-22 |