NPI | 1992207047 |
---|---|
Former Name | KRISTEN MARY WALTOS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: NH 082473-23) |
Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: GA RN262232) |
Enumeration Date | 2018-03-05 |
Last Update Date | 2020-07-14 |