NPI | 1184032138 |
---|---|
Former Name | KRISTEN GREGORY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 104774) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9309431) |
163W00000X Registered Nurse (Licence: MI 4704291957) | |
163W00000X Registered Nurse (Licence: TN 202700) | |
Enumeration Date | 2014-07-22 |
Last Update Date | 2018-09-26 |