| NPI | 1619323292 |
|---|---|
| Former Name | KRISTINE SUSAN HARTGE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP017657) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN562007) |
| Enumeration Date | 2016-05-12 |
| Last Update Date | 2022-07-21 |