| NPI | 1881983641 |
|---|---|
| Former Name | KRISTIN JANE LASRENSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN15614) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN RN167113) |
| Enumeration Date | 2011-04-01 |
| Last Update Date | 2011-04-01 |