NPI | 1053840512 |
---|---|
Former Name | KRISTY AUTUMN WILL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 95001278) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MI 4704280895) |
Enumeration Date | 2017-06-08 |
Last Update Date | 2021-10-04 |