| NPI | 1487801817 |
|---|---|
| Former Name | KRISTY ROSE ABDOU |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 19601) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 200441107RN) |
| Enumeration Date | 2008-08-27 |
| Last Update Date | 2019-09-10 |