NPI | 1679058887 |
---|---|
Former Name | KRISTINA G OSSMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: IA G132017) |
Enumeration Date | 2018-10-03 |
Last Update Date | 2018-10-03 |