NPI | 1295783538 |
---|---|
Former Name | CAROL A KECK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NE 100850) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MI 4704290975) |
Enumeration Date | 2006-05-05 |
Last Update Date | 2022-09-15 |