| NPI | 1215935556 |
|---|---|
| Former Name | KRISTINE GARETSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: IA H059569) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP2979772) |
| 363LF0000X Nurse Practitioner, Family (Licence: IA 059569) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: IA H059569) | |
| Enumeration Date | 2005-07-11 |
| Last Update Date | 2019-06-27 |