| NPI | 1184464877 |
|---|---|
| Other Name | KRISTA LEIGHANN WYATT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5020144) |
| Enumeration Date | 2024-05-29 |
| Last Update Date | 2024-08-30 |