| NPI | 1407372238 |
|---|---|
| Former Name | KRSITEN E FANTEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00982300) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CT 7169) |
| Enumeration Date | 2017-08-14 |
| Last Update Date | 2020-03-13 |