| NPI | 1689362998 | 
|---|---|
| Former Name | JULIE ELIZABETH KRISTIANSEN | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: HI APRN-4028-0)  | 
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 356031)  | 
| Enumeration Date | 2023-04-25 | 
| Last Update Date | 2025-03-20 |