NPI | 1407271117 |
---|---|
Former Name | KRISTY RENEE BOOSINGER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AK NUR A 435) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AK NUR R 27604) |
Enumeration Date | 2014-03-04 |
Last Update Date | 2014-03-24 |