| NPI | 1063812436 |
|---|---|
| Former Name | KRISTEN NEIGEBAUER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: MN F1014122) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN R190231-4) |
| Enumeration Date | 2014-09-03 |
| Last Update Date | 2020-11-10 |