NPI | 1326479536 |
---|---|
Former Name | KRISTA HAAS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: PA SP013397) |
Additional Taxonomies | 364SA2100X Clinical Nurse Specialist, Acute Care (Licence: NJ 26NJ00483600) |
364SA2100X Clinical Nurse Specialist, Acute Care (Licence: NJ 26NR16117600) | |
Enumeration Date | 2013-12-13 |
Last Update Date | 2019-01-11 |