NPI | 1992271274 |
---|---|
Former Name | KRISTINA T SOBASKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LN0000X Nurse Practitioner Neonatal (Licence: IA K120195) |
Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: IA K120195) |
Enumeration Date | 2018-10-15 |
Last Update Date | 2018-10-15 |