NPI | 1376107102 |
---|---|
Former Name | KAYLA MARY KRUEGER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KS 557739) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 13123723) |
Enumeration Date | 2019-04-26 |
Last Update Date | 2023-03-14 |