| NPI | 1871214452 |
|---|---|
| Former Name | KRISTEN SHEPPARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: FL 11021705) |
| Enumeration Date | 2022-09-12 |
| Last Update Date | 2022-09-12 |