| NPI | 1679605588 |
|---|---|
| Former Name | KRISTINE ELIZABETH GORMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WC0400X Registered Nurse, Case Management (Licence: ME RO46385) |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2007-07-08 |