NPI | 1275716904 |
---|---|
Former Name | KRISTA Y ABBOTT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 28836) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MI 4704242401) |
Enumeration Date | 2007-12-17 |
Last Update Date | 2024-10-16 |