NPI | 1730622408 |
---|---|
Former Name | KRISTEN NICOLE KING |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP60699168) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60696431) |
163W00000X Registered Nurse (Licence: AL 1-143154) | |
Enumeration Date | 2016-11-29 |
Last Update Date | 2024-08-15 |