| NPI | 1255067856 |
|---|---|
| Former Name | KIERSTYN POLTE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: CA NP95020755) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA NP95020755) |
| Enumeration Date | 2022-07-26 |
| Last Update Date | 2022-11-28 |