NPI | 1235370651 |
---|---|
Former Name | KRISTIN ANN OLSEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IA 119524) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: IA 119524) |
Enumeration Date | 2009-03-13 |
Last Update Date | 2011-07-05 |