NPI | 1093962367 |
---|---|
Former Name | KRISTI ANN CULICERTO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WV 54481) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: WV 054481) |
Enumeration Date | 2008-08-19 |
Last Update Date | 2013-09-04 |