| NPI | 1063694354 |
|---|---|
| Former Name | CHRISTIANA Z GALLUP |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: VA 0024166828) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024166828) |
| Enumeration Date | 2007-11-29 |
| Last Update Date | 2018-04-24 |