| NPI | 1689083032 |
|---|---|
| Former Name | KRISTINE ELLYN KENNAUGH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP60491294) |
| Enumeration Date | 2014-08-11 |
| Last Update Date | 2014-08-11 |