| NPI | 1235514563 |
|---|---|
| Former Name | KATHERINE PRUITT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 20414) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MS R882038) |
| Enumeration Date | 2015-07-28 |
| Last Update Date | 2016-12-30 |