NPI | 1346632254 |
---|---|
Former Name | KRISTA SMITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OR 201602969CRNA) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024172646) |
Enumeration Date | 2015-03-02 |
Last Update Date | 2023-11-21 |