NPI | 1891003430 |
---|---|
Former Name | KRISTEN NASH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95000666) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 15093) |
Enumeration Date | 2010-09-16 |
Last Update Date | 2016-05-25 |