NPI | 1700174802 |
---|---|
Former Name | KRISTEN ELIZABETH BASSETT OR RICHARDSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NV APN001298) |
Enumeration Date | 2011-07-11 |
Last Update Date | 2018-08-28 |