NPI | 1033964556 |
---|---|
Former Name | NICOLE KOSTERA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN11040384) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: FL RN9505809) |
Enumeration Date | 2024-04-18 |
Last Update Date | 2025-07-09 |