| 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) |
| Enumeration Date | 2016-11-29 |
| Last Update Date | 2016-11-29 |