| NPI | 1902460678 |
|---|---|
| Former Name | KRISTELLE M GILLIM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11002432) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN11002432) |
| Enumeration Date | 2019-04-27 |
| Last Update Date | 2022-11-10 |