NPI | 1124353701 |
---|---|
Former Name | KATHERINE ELAINE REAM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CO 0990681) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 6196) |
Enumeration Date | 2009-10-15 |
Last Update Date | 2013-04-01 |