| NPI | 1053057604 |
|---|---|
| Former Name | MAREN CHRISTINE ADDY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KS 558023) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 132536) |
| Enumeration Date | 2022-05-06 |
| Last Update Date | 2022-09-21 |