| NPI | 1578664843 |
|---|---|
| Former Name | CRISTY MARIE BETTES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MO 2001029811) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: KS 76678) |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2015-03-25 |