| NPI | 1932428943 |
|---|---|
| Former Name | KRISTI DAWN ROARK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: MO 2010016453) |
| Enumeration Date | 2010-06-01 |
| Last Update Date | 2010-06-01 |