| NPI | 1992180434 |
|---|---|
| Former Name | KRISTEN MICHELLE HASKINS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH APRN.CNP.17288) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.381828) |
| Enumeration Date | 2015-07-27 |
| Last Update Date | 2018-02-02 |