| NPI | 1760935183 |
|---|---|
| Former Name | KRISTA JO MARTIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: DE L2-0044863) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9296238) |
| Enumeration Date | 2016-08-02 |
| Last Update Date | 2016-08-02 |