| NPI | 1386240133 |
|---|---|
| Former Name | CARLY BROOK KRUMNOW |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 131527) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 859877) |
| 207L00000X Anesthesiology (Licence: TX 131527) | |
| Enumeration Date | 2020-12-08 |
| Last Update Date | 2024-04-10 |