| NPI | 1922350347 |
|---|---|
| Former Name | KRISTY DIANA DABDOUB |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO APN.0990499-NP) |
| Enumeration Date | 2012-10-09 |
| Last Update Date | 2015-07-08 |