NPI | 1679064661 |
---|---|
Former Name | KRISTEN DANIELLE JAMES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN2299299) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2299299) |
Enumeration Date | 2018-05-24 |
Last Update Date | 2022-02-09 |