| NPI | 1689183014 |
|---|---|
| Former Name | KRISTY POOLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN2268086) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2268086) |
| 363LF0000X Nurse Practitioner, Family (Licence: CT 7330) | |
| Enumeration Date | 2017-09-28 |
| Last Update Date | 2024-07-22 |