| NPI | 1174155774 |
|---|---|
| Former Name | CARISSA ASHLEE KRUEGER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: ND R38064) |
| Enumeration Date | 2020-02-11 |
| Last Update Date | 2020-02-11 |