| NPI | 1902474554 |
|---|---|
| Former Name | KRISTNE BURRESS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03441497) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: WV IN0008658) |
| Enumeration Date | 2021-06-10 |
| Last Update Date | 2023-03-09 |