| NPI | 1548819477 |
|---|---|
| Former Name | CHRISTI LEA VENTRIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OK 109643) |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care (Licence: OK 109643) |
| Enumeration Date | 2019-09-04 |
| Last Update Date | 2019-12-24 |