| NPI | 1073920823 |
|---|---|
| Former Name | AMANDA KRISTOFIK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 8064) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP014170) |
| Enumeration Date | 2014-07-14 |
| Last Update Date | 2023-03-15 |