| NPI | 1790592087 |
|---|---|
| Former Name | KRISTIN LEE PARKS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KS 5384856072) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 132497) |
| Enumeration Date | 2024-12-11 |
| Last Update Date | 2025-10-31 |