| NPI | 1770035222 |
|---|---|
| Former Name | KRISTIN ALICIA SCOLARICI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MO 2016035213) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209014986) |
| Enumeration Date | 2016-11-01 |
| Last Update Date | 2016-11-01 |