| NPI | 1114233707 |
|---|---|
| Former Name | KRISTEN MICHELLE BURGDORFF |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 15110) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 143876) |
| Enumeration Date | 2010-08-20 |
| Last Update Date | 2020-12-09 |