| NPI | 1346591286 |
|---|---|
| Former Name | CHRISTA B BIENIOSEK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 5058-33) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WI 5058-33) |
| 163W00000X Registered Nurse (Licence: WI 155410-30) | |
| Enumeration Date | 2012-10-01 |
| Last Update Date | 2023-04-11 |