NPI | 1922360718 |
---|---|
Former Name | KRISTI M BRAGG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: VA 0024170238) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001201984) |
Enumeration Date | 2012-06-08 |
Last Update Date | 2022-12-19 |