| NPI | 1679525240 |
|---|---|
| Former Name | KRISTINE T FOTH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: WI 135319) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 2553) |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2020-09-29 |