| NPI | 1730539701 |
|---|---|
| Former Name | KRISTINA MCMICAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP 9315061) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN 9315061) |
| Enumeration Date | 2016-06-20 |
| Last Update Date | 2025-11-19 |