| NPI | 1134814742 |
|---|---|
| Former Name | KRISTEN M GOETZKE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 13889) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 254572) |
| Enumeration Date | 2023-04-10 |
| Last Update Date | 2023-08-07 |