NPI | 1861034365 |
---|---|
Former Name | KRISTY LEE STRONG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN302004) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71009726A) |
Enumeration Date | 2019-10-16 |
Last Update Date | 2022-09-12 |