| NPI | 1790592087 |
|---|---|
| Former Name | KRISTIN LEE PARKS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 132497) |
| Enumeration Date | 2024-12-11 |
| Last Update Date | 2024-12-11 |