| NPI | 1043965957 |
|---|---|
| Former Name | KATIE JUSTINE CLEMENTS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AR 220477) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2022-02-18 |
| Last Update Date | 2023-11-06 |