| NPI | 1831831510 |
|---|---|
| Former Name | COURTNEY KISTLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: AZ 271346) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: AZ 271346) |
| Enumeration Date | 2022-04-12 |
| Last Update Date | 2022-05-12 |