| NPI | 1992418669 |
|---|---|
| Former Name | PAIGE BREANNE CHRISTIANSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: UT 10069937-4405) |
| Enumeration Date | 2022-12-27 |
| Last Update Date | 2022-12-27 |