| NPI | 1881117521 |
|---|---|
| Former Name | KRISTY MICHILLE GODFREY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 22497) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN RN150366) |
| Enumeration Date | 2017-07-25 |
| Last Update Date | 2018-06-14 |