| NPI | 1437715208 |
|---|---|
| Former Name | KRISTY SHRADER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ID 61427) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MT 234790) |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP61475074) | |
| Enumeration Date | 2019-05-16 |
| Last Update Date | 2024-09-25 |