NPI | 1386265155 |
---|---|
Former Name | KAYLAN GRACE CARTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WI 10349) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 845098) |
Enumeration Date | 2020-05-02 |
Last Update Date | 2024-04-04 |