| NPI | 1710020771 |
|---|---|
| Former Name | KRISTINE BEDORTHA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP30007661) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 200650135NP) |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2014-09-30 |