| NPI | 1235389693 |
|---|---|
| Former Name | KRISTY A GASVODA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MT NUR-APRN-LIC-100540) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MT 28985) |
| Enumeration Date | 2008-09-23 |
| Last Update Date | 2021-12-14 |