| NPI | 1689089807 |
|---|---|
| Former Name | KRISTEN MARGARET CAMP |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209011443) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041385983) |
| Enumeration Date | 2014-06-26 |
| Last Update Date | 2023-05-25 |