NPI | 1851100044 |
---|---|
Former Name | KRISTEN HOLLADAY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71016372A) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28193965A) |
Enumeration Date | 2025-01-02 |
Last Update Date | 2025-02-28 |