| NPI | 1982962619 |
|---|---|
| Former Name | KRISTIN J FEBUS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IA G162809) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IA C111464) |
| Enumeration Date | 2012-05-01 |
| Last Update Date | 2022-02-08 |