| 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 |