NPI | 1902805146 |
---|---|
Former Name | KRISTI R SWARTHWOOD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704216563) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MN 0373474) |
363LA2200X Nurse Practitioner, Adult Health (Licence: MN R200763-2) | |
Enumeration Date | 2005-07-19 |
Last Update Date | 2022-07-08 |