| NPI | 1528492469 |
|---|---|
| Former Name | KRISTINA J WASSAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 5404) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 277-001763) |
| Enumeration Date | 2013-08-28 |
| Last Update Date | 2025-04-02 |