NPI | 1871265546 |
---|---|
Former Name | KRISTEN ZIMMER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F348504-01) |
Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NY 348504) |
Enumeration Date | 2021-10-01 |
Last Update Date | 2024-05-28 |