NPI | 1356585467 |
---|---|
Former Name | KRISTIN M BALLANTINI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209028393) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2005023468) |
367500000X Nurse Anesthetist, Certified Registered (Licence: MO 2005023468) | |
Enumeration Date | 2009-04-21 |
Last Update Date | 2025-04-04 |