NPI | 1023358546 |
---|---|
Former Name | KAYLA JANE RUNKLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN R 167267-3) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN 0195) |
Enumeration Date | 2013-02-20 |
Last Update Date | 2024-07-11 |