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 |