| NPI | 1487979001 |
|---|---|
| Former Name | KRISTEN EISTETTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 10455) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 342343) |
| Enumeration Date | 2010-04-07 |
| Last Update Date | 2018-03-17 |