| NPI | 1790187003 |
|---|---|
| Former Name | KRISTA KAY GAGER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 95001048) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 824700) |
| Enumeration Date | 2014-09-17 |
| Last Update Date | 2020-02-14 |