| NPI | 1902397631 |
|---|---|
| Former Name | KRISTEN SPAIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA 2321770) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2321770) |
| Enumeration Date | 2018-05-29 |
| Last Update Date | 2024-09-26 |