| NPI | 1871975128 |
|---|---|
| Former Name | CRISTA DANAE NAZARIO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NE 36310) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: SD 11182) |
| Enumeration Date | 2015-06-23 |
| Last Update Date | 2024-09-03 |