| NPI | 1740652577 |
|---|---|
| Former Name | KRISTI LYNN DENGLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner Gerontology (Licence: IA H095136) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: IA H095136) |
| Enumeration Date | 2015-10-20 |
| Last Update Date | 2017-08-25 |