| NPI | 1033672597 |
|---|---|
| Former Name | KRYSTINA ENRIQUEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: CO APN.0994606-NP) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO APN.0994606-NP) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: CO APN.0994606-NP) | |
| Enumeration Date | 2019-04-11 |
| Last Update Date | 2023-07-26 |