| NPI | 1164055109 |
|---|---|
| Former Name | KARISSA KEAGAN JUNGERMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: UT 7120828-4405) |
| Enumeration Date | 2020-02-18 |
| Last Update Date | 2024-06-02 |