| NPI | 1275892861 |
|---|---|
| Former Name | KRISTINA MARIE WAGNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 2012015028) |
| Enumeration Date | 2012-05-16 |
| Last Update Date | 2023-08-15 |