Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LC0200X | Nurse Practitioner - Critical Care Medicine | APRN9320992 | FL |
NPI | 1174098404 |
---|---|
Provider Name | Ms. Kristina Ashley Gass |
First Address | Miami, FL 33186-2742 |
Second Address | Miami, FL 33186-2742 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/10/2018 |
Last Update Date | 10/06/2020 |