| NPI | 1588801120 |
|---|---|
| Former Name | KRISTINA ANNETTE RONNEBERG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH APRN.CNP.10225) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH NP-10225) |
| Enumeration Date | 2009-01-20 |
| Last Update Date | 2019-12-20 |