| NPI | 1326208711 |
|---|---|
| Former Name | KRISTI LEE HOSTETTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: WI 2621-33) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 131979-30) |
| Enumeration Date | 2008-06-10 |
| Last Update Date | 2008-06-10 |