| NPI | 1689196255 |
|---|---|
| Former Name | KRISTEN ASHLEY VANHANDEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: WI 233644-30) |
| Enumeration Date | 2017-07-14 |
| Last Update Date | 2022-07-21 |