| NPI | 1841401684 |
|---|---|
| Former Name | KRISTIN ANN FARAGUNA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024166962) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0017138572) |
| 363LF0000X Nurse Practitioner, Family (Licence: DC RN1002284) | |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2020-12-10 |