| NPI | 1538255781 |
|---|---|
| Former Name | KRISTIE S WADDELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP114983) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP114983) |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2024-06-27 |