NPI | 1811311160 |
---|---|
Former Name | KRISTIN MARRS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2284126) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NH 069534-23) |
Enumeration Date | 2014-02-06 |
Last Update Date | 2019-07-23 |