NPI | 1790838076 |
---|---|
Former Name | KRISTEN ELIZABETH BELT-SHAABAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 200050053NP) |
Enumeration Date | 2007-01-19 |
Last Update Date | 2020-09-25 |