| NPI | 1164976049 |
|---|---|
| Former Name | KRISTINA MARIE DESOTELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WD0400X Registered Nurse, Diabetes Educator (Licence: NV RN18470) |
| Enumeration Date | 2016-08-09 |
| Last Update Date | 2016-08-09 |