| NPI | 1982228334 |
|---|---|
| Former Name | KIERSTEN STONE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: TX 1067691) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: TX 351768) |
| Enumeration Date | 2020-06-02 |
| Last Update Date | 2023-03-21 |