| NPI | 1497313753 |
|---|---|
| Former Name | KRISTA SHERIDAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: NH 073306-23) |
| Enumeration Date | 2019-06-03 |
| Last Update Date | 2020-03-06 |