| NPI | 1962977140 |
|---|---|
| Former Name | KRYSTLE SHARNA BONCATO BEKALO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 95009956) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95009956) |
| Enumeration Date | 2018-10-03 |
| Last Update Date | 2018-10-10 |