| NPI | 1780092312 |
|---|---|
| Former Name | KRISTIN NICOLE FENSTERBUSCH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: IA C157049) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209010838) |
| 363L00000X Nurse Practitioner (Licence: IA C157049) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: IA C157049) | |
| Enumeration Date | 2014-07-28 |
| Last Update Date | 2023-08-03 |