| NPI | 1205130820 |
|---|---|
| Former Name | KATHERINE GRACE HABERSTRO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NH 063727-23) |
| Enumeration Date | 2010-12-23 |
| Last Update Date | 2014-12-15 |