| NPI | 1699063248 |
|---|---|
| Former Name | KRISTAL RENAE LAGRO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71003689A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 28152110A) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IN 71003689A) | |
| Enumeration Date | 2011-07-18 |
| Last Update Date | 2024-01-11 |