NPI | 1992960819 |
---|---|
Other Name | KRISTIN MARY SORENSEN-TANENBAUM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MN 5112) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R160645) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R160645) | |
Enumeration Date | 2008-07-21 |
Last Update Date | 2020-09-28 |