NPI | 1801832472 |
---|---|
Former Name | KRISTINA C SPEROS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: TN 11714) |
Additional Taxonomies | 163WP0200X Registered Nurse Pediatrics (Licence: TN 130494) |
Enumeration Date | 2006-06-21 |
Last Update Date | 2023-11-06 |