| NPI | 1972183069 |
|---|---|
| Former Name | KRISTELLE NICOLE FABULA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R201059) |
| Enumeration Date | 2021-04-12 |
| Last Update Date | 2021-04-15 |