| NPI | 1285880856 |
|---|---|
| Former Name | KRISTINE M BROGE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: WI 134341) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 134341) |
| Enumeration Date | 2008-08-14 |
| Last Update Date | 2020-08-07 |