| NPI | 1538231915 |
|---|---|
| Former Name | KRISTIN ELIZABETH SHIBAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP009046) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN523431L) |
| 172A00000X Driver (Licence: PA 23814069) | |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2018-10-05 |