NPI | 1699752535 |
---|---|
Former Name | KRISTA JANE NABER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: MN 2737) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN 2737) |
363LG0600X Nurse Practitioner, Gerontology (Licence: MN 03242493) | |
Enumeration Date | 2005-12-30 |
Last Update Date | 2024-06-04 |