NPI | 1750080271 |
---|---|
Former Name | KRISTIN NICOLE KRENEK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1111166) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 921797) |
Enumeration Date | 2023-02-24 |
Last Update Date | 2023-10-02 |