| NPI | 1043694599 |
|---|---|
| Former Name | KRISTINA M. ANDRESEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NE 111843) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NE 72627) |
| Enumeration Date | 2015-07-15 |
| Last Update Date | 2015-07-17 |