| NPI | 1760614002 |
|---|---|
| Former Name | KRISTEN ANN DANESE ALTDOERFFER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: PA SP012902) |
| Additional Taxonomies | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: PA SPo12902) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA SP012902) | |
| Enumeration Date | 2009-08-20 |
| Last Update Date | 2020-05-18 |