| NPI | 1265094304 |
|---|---|
| Former Name | KRISTA LYNN TARBELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IA G155096) |
| Enumeration Date | 2019-06-28 |
| Last Update Date | 2019-06-28 |