NPI | 1134492689 |
---|---|
Former Name | LESLEY MOAK KRZYSTYNIAK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CO APN.0990260-NP) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 178308) |
Enumeration Date | 2012-02-14 |
Last Update Date | 2022-07-21 |