| NPI | 1164870184 |
|---|---|
| Former Name | KRISTI ILENE PAGE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5008568) |
| Additional Taxonomies | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: NC 5008568) |
| Enumeration Date | 2016-05-31 |
| Last Update Date | 2021-05-10 |