NPI | 1821635111 |
---|---|
Former Name | KRISTEN MICHELLE ZINK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71009676A) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28205252A) |
Enumeration Date | 2019-12-05 |
Last Update Date | 2024-10-30 |